Individual provider Active NPI

Melissa Lee Letendre

  • Massage Therapist
  • Middleboro, MA
National Provider Identifier
1942809413
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT5519 Issued in MA
Practice address
205 W Grove St
Middleboro, MA 02346-1462
Phone
(508) 801-7726
NPI assigned
Oct 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MT-5519 MA
Massage Therapist 225700000X MT5519 MA Primary

Addresses

Primary practice location

205 W Grove St
Middleboro, MA 02346-1462

Mailing address

139 Chestnut St
Middleboro, MA 02346-3303
Phone (508) 801-7726

Other practice location 1

205 W Grove St Ste A
Middleboro, MA 02346-1462
Phone (508) 801-7726

Other practice location 2

205 W Grove St
Middleboro, MA 02346-1462
Phone (508) 801-7726

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

State licenses

LicenseStateTypeSpecialty
MT-5519MAMDMassage Therapist
MT5519MAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1942809413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CHESTNUT ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023463303",
            "telephone_number": "508-801-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W GROVE ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461462",
            "telephone_number": "508-801-7726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W Grove St Ste A",
            "address_purpose": "LOCATION",
            "city": "Middleboro",
            "state": "MA",
            "postal_code": "023461462",
            "country_code": "US",
            "telephone_number": "508-801-7726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 W Grove St",
            "address_purpose": "LOCATION",
            "city": "Middleboro",
            "state": "MA",
            "postal_code": "023461462",
            "country_code": "US",
            "telephone_number": "508-801-7726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETENDRE",
        "first_name": "MELISSA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "MT-5519",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "MT5519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.