Organization Active NPI

Lisa M Velardo, Muscular Therapy

  • Massage Therapist
  • Lynn, MA
National Provider Identifier
1982726477
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MI2005 Issued in MA
Legal business name
LISA M VELARDO, MUSCULAR THERAPY
Practice address
161 Eastern Ave
Unit 2
Lynn, MA 01902-1307
Phone
(781) 599-2661
Fax
(781) 284-8832
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Ms. Lisa Marie Velardo, LMT
Title
Sole Proprietor
Phone
(781) 599-2661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MI2005 MA Primary

Addresses

Primary practice location

161 Eastern Ave
Unit 2
Lynn, MA 01902-1307

Mailing address

161 Eastern Ave
Unit 2
Lynn, MA 01902-1307
Phone (781) 599-2661

National Provider Directory

National Provider Directory

Locations

161 Eastern Ave
Unit 2
Lynn, MA 01902
Phone (781) 599-2661

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1982726477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 EASTERN AVE",
            "address_2": "UNIT 2",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019021307",
            "telephone_number": "781-599-2661",
            "fax_number": "781-284-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 EASTERN AVE",
            "address_2": "UNIT 2",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019021307",
            "telephone_number": "781-599-2661",
            "fax_number": "781-284-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M VELARDO, MUSCULAR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "VELARDO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "781-599-2661",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "MI2005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.