Organization Active NPI

Sports & Medical Massage LLC

  • Massage Therapist
  • Shillington, PA
National Provider Identifier
1962281915
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SPORTS & MEDICAL MASSAGE LLC
Practice address
300 W Lancaster Ave FL 1
Shillington, PA 19607-9941
Phone
(484) 752-0819
NPI assigned
Sep 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Sonia I Colon-Garcia, LMTNPI 1972110195
Title
LMT
Phone
(484) 752-0819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

300 W Lancaster Ave FL 1
Shillington, PA 19607-9941

Mailing address

300 W Lancaster Ave FL 1
Shillington, PA 19607-9941
Phone (484) 752-0819

National Provider Directory

National Provider Directory

Locations

300 W Lancaster Ave
Fl 1
Shillington, PA 19607
Phone (484) 752-0819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1962281915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W LANCASTER AVE FL 1",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196079941",
            "telephone_number": "484-752-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W LANCASTER AVE FL 1",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196079941",
            "telephone_number": "484-752-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS & MEDICAL MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "COLON-GARCIA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "484-752-0819",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shillington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.