Individual provider Active NPI

Vincent Michel Dufort, PHD, LMT

  • Massage Therapist
  • Wolfeboro, NH
National Provider Identifier
1972077931
Registry record updated Sep 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7110MT Issued in NH
Practice address
35 Center St Ste 8
Wolfeboro, NH 03894-4324
Phone
(833) 569-1347
Fax
(833) 569-1347
NPI assigned
Jan 13, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 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 7110MT NH Primary

Addresses

Primary practice location

35 Center St Ste 8
Wolfeboro, NH 03894-4324

Mailing address

PO Box 1132
Wolfeboro Falls, NH 03896-1132
Phone (207) 251-2218

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7110MTNHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advancing Simplicity LLC Massage Therapist CurrentSince Aug 6, 2023 Accepting new patients

Locations

35 Center St
Ste 8
Wolfeboro, NH 03894
Phone (833) 569-1347

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": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695513600000",
    "number": "1972077931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1132",
            "city": "WOLFEBORO FALLS",
            "state": "NH",
            "postal_code": "038961132",
            "telephone_number": "207-251-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CENTER ST STE 8",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944324",
            "telephone_number": "833-569-1347",
            "fax_number": "833-569-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFORT",
        "first_name": "VINCENT",
        "middle_name": "MICHEL",
        "name_prefix": "Dr.",
        "credential": "PHD, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-13",
        "last_updated": "2023-09-24",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "7110MT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.