Individual provider Active NPI

Natwadee Rattanasriampipong, MT

  • Massage Therapist
  • Greenwich, CT
National Provider Identifier
1932679321
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
007710 Issued in CT
Practice address
49 Greenwich Ave
Greenwich, CT 06830-5523
Phone
(682) 628-9514
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 027189 NY
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 007710 CT Primary

Addresses

Primary practice location

49 Greenwich Ave
Greenwich, CT 06830-5523

Mailing address

49 Greenwich Ave
Greenwich, CT 06830-5523
Phone (682) 628-9514

Other names 1

  • Natwadee Lippolis Former name

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
007710CTMDMassage Therapist
027189NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thai Serenity Spa LLC Massage Therapist CurrentSince Oct 25, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1932679321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 GREENWICH AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305523",
            "telephone_number": "682-628-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 GREENWICH AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305523",
            "telephone_number": "682-628-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTANASRIAMPIPONG",
        "first_name": "NATWADEE",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "027189",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "007710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATWADEE",
            "last_name": "LIPPOLIS",
            "credential": "MT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.