Active NPI
Regina Mary Nolan, N.C.T.M.
- Massage Therapist
- Peckville, PA
National Provider Identifier
1922330570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1418 Main St
Suite 104
Peckville, PA 18452-2048 - Phone
- (570) 885-6734
- NPI assigned
- Feb 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
1418 Main St
Suite 104
Peckville, PA 18452-2048
Mailing address
1418 Main St
Suite 104
Peckville, PA 18452-2048
Phone (570) 885-6734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 567964-08 | Other | PA | NCBTMB NATIONAL CERTIFICATION INTHERAPEUTIC MASSAGE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1922330570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 MAIN ST",
"address_2": "SUITE 104",
"city": "PECKVILLE",
"state": "PA",
"postal_code": "184522048",
"telephone_number": "570-885-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 MAIN ST",
"address_2": "SUITE 104",
"city": "PECKVILLE",
"state": "PA",
"postal_code": "184522048",
"telephone_number": "570-885-6734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "REGINA",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "N.C.T.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-08",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBTMB NATIONAL CERTIFICATION INTHERAPEUTIC MASSAGE",
"identifier": "567964-08",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peckville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.