Active NPI
Natwadee Rattanasriampipong, MT
- Massage Therapist
- Greenwich, CT
National Provider Identifier
1932679321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 007710
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 027189 | NY | |
| Massage Therapist | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007710 | CT | MD | Massage Therapist |
| 027189 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thai Serenity Spa LLC | Massage Therapist | Current | 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.