Active NPI
Frederic Verswijver, Inc
- Massage Therapist
- Santa Fe, NM
National Provider Identifier
1952599474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0249
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryLocations
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.