Active NPI
Cynthia M Grandmont Bodine, LMT
- Massage Therapist
- Chicopee, MA
National Provider Identifier
1952802134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7116
- Practice address
- 1643 Memorial Dr
Chicopee, MA 01020-3132 - Phone
- (413) 437-8550
- Fax
- (413) 650-5548
- NPI assigned
- Feb 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7116 | MA | Primary |
Addresses
Primary practice location
1643 Memorial Dr
Chicopee, MA 01020-3132
Mailing address
35 Turkey Hill Rd Ste 105
Belchertown, MA 01007-9032
Phone (413) 323-1115
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Health Group, P.C. | Single Specialty | Past | 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": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1952802134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 TURKEY HILL RD STE 105",
"city": "BELCHERTOWN",
"state": "MA",
"postal_code": "010079032",
"telephone_number": "413-323-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1643 MEMORIAL DR",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010203132",
"telephone_number": "413-437-8550",
"fax_number": "413-650-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDMONT BODINE",
"first_name": "CYNTHIA",
"middle_name": "M",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-23",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MA",
"license": "7116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.