Active NPI
Pamela Y Dahl, MT
- Massage Therapist
- Bordentown, NJ
National Provider Identifier
1982969648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 104 Farnsworth Avenue
Bordentown, NJ 08505 - Phone
- (609) 462-3215
- NPI assigned
- Jul 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
104 Farnsworth Avenue
Bordentown, NJ 08505
Mailing address
104 Farnsworth Avenue
Bordentown, NJ 08505
Phone (609) 462-3215
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
- Medical Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1982969648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 FARNSWORTH AVENUE",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "08505",
"telephone_number": "609-462-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 FARNSWORTH AVENUE",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "08505",
"telephone_number": "609-462-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "PAMELA",
"middle_name": "Y",
"name_prefix": "Ms.",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bordentown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.