David J De Sousa, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8782 Issued in LA

Practice address

22 Upper Mile Point Rd
Wellness Center
Meredith, NH 03253-5741

Phone

(603) 387-0950

NPI assigned

May 22, 2018

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2018.

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1982195327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 POTTING BENCH RD",
            "city": "MEREDITH",
            "state": "NH",
            "postal_code": "032534212",
            "telephone_number": "603-387-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 UPPER MILE POINT RD",
            "address_2": "WELLNESS CENTER",
            "city": "MEREDITH",
            "state": "NH",
            "postal_code": "032535741",
            "telephone_number": "603-387-0950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Potting Bench Rd",
            "address_purpose": "LOCATION",
            "city": "Meredith",
            "state": "NH",
            "postal_code": "032534212",
            "country_code": "US",
            "telephone_number": "603-387-0950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4128 Loire Dr Apt D",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700655458",
            "country_code": "US",
            "telephone_number": "603-387-0950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE SOUSA",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "4052",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "8782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPIST",
            "identifier": "8782",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPIST",
            "identifier": "4052",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Core Attachment Therapy, LLC
• Kathryn D. Cranford, ND, NHCM
• Carolyn S Crosby, MD
• Crossroads Chiropractic Lakeside PC
• Jamie Lynne Dauer, MS OTR/L
• Dorothy Ann Derapelian, LCMHC
• Edward Detolla, DDS
• Katrine R Dionne, PHARMD
• Dr Nick I Fleury DMD PLLC
• Paul J Dubuque, DMD

• All providers in Meredith, NH
• Massage Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.