Organization Active NPI

Frederic Verswijver, Inc

  • Massage Therapist
  • Santa Fe, NM
National Provider Identifier
1952599474
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0249 Issued in NM
Legal business name
FREDERIC VERSWIJVER, INC
Practice address
1807 Second Street #46
Santa Fe, NM 87505
Phone
(505) 983-2341
Fax
(505) 983-4578
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Frederic Verswijver, PHD LMT
Title
Director Owner of Corporation
Phone
(505) 983-2341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 0249 NM Primary

Addresses

Primary practice location

1807 Second Street #46
Santa Fe, NM 87505

Mailing address

1807 Second Street #46
Santa Fe, NM 87505
Phone (505) 983-2341

National Provider Directory

National Provider Directory

Locations

1807 2nd St
Ste 46
Santa Fe, NM 87505
Phone (505) 983-2341

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1952599474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 SECOND STREET #46",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-983-2341",
            "fax_number": "505-983-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 SECOND STREET #46",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-983-2341",
            "fax_number": "505-983-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC VERSWIJVER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "VERSWIJVER",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_title_or_position": "DIRECTOR OWNER OF CORPORATION",
        "authorized_official_telephone_number": "505-983-2341",
        "authorized_official_credential": "PHD LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "0249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.