Individual provider Active NPI

Danelly Parra Canaveral, LMT,CHT

  • Massage Therapist
  • Montgomeryville, PA
National Provider Identifier
1962198960
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG008469 Issued in PA
Practice address
587 Bethlehem Pike Ste 300
Montgomeryville, PA 18936-1303
Phone
(215) 603-3366
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MSG008469 PA Primary

Addresses

Primary practice location

587 Bethlehem Pike Ste 300
Montgomeryville, PA 18936-1303

Mailing address

587 Bethlehem Pike Ste 300
Montgomeryville, PA 18936-1303
Phone (215) 603-3366

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
MSG008469PAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1962198960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 BETHLEHEM PIKE STE 300",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189361303",
            "telephone_number": "215-603-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 BETHLEHEM PIKE STE 300",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189361303",
            "telephone_number": "215-603-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA CANAVERAL",
        "first_name": "DANELLY",
        "credential": "LMT,CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG008469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomeryville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.