Jennifer Parent, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT4066 Issued in ME

Practice address

381 Main St Ste 3
Gorham, ME 04038-1361

Phone

(207) 222-2118

NPI assigned

Feb 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Theriault Chiropractic & Associates PC

  • Chiropractor
  • Gorham, ME
  • NPI 1568145076
  NPD

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1952166209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 PENNELL ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 MAIN ST STE 3",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381361",
            "telephone_number": "207-222-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARENT",
        "first_name": "JENNIFER",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT4066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelleigh O'Neill, M.S., ATC
• Luke Ollila, DO
• P G Surgical Assisting LLC
• Soksan Pao
• Paradise Residential Services LLC
• Partners in Care LLC
• Rebecca Paschal, MS
• Pathway Residential Services LLC
• Laura J. Peaslee, DPT
• Stacie L. Perry, OTRL

• Massage Therapist in Gorham, ME
• Providers in Gorham, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.