Active NPI
Katherine Mary Mahon, LMT
- Massage Therapist
- East Machias, ME
National Provider Identifier
1992079370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT816
- Practice address
- 28 Jacksonville Rd
East Machias, ME 04630-3818 - Phone
- (207) 263-5057
- NPI assigned
- Mar 1, 2012
- Last updated
- Mar 1, 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 | MT816 | ME | Primary |
Addresses
Primary practice location
28 Jacksonville Rd
East Machias, ME 04630-3818
Mailing address
28 Jacksonville Rd
East Machias, ME 04630-3818
Phone (207) 263-5057
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT816 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1992079370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 JACKSONVILLE RD",
"city": "EAST MACHIAS",
"state": "ME",
"postal_code": "046303818",
"telephone_number": "207-263-5057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 JACKSONVILLE RD",
"city": "EAST MACHIAS",
"state": "ME",
"postal_code": "046303818",
"telephone_number": "207-263-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHON",
"first_name": "KATHERINE",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Machias, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.