Active NPI
Angela Kathryn Dirkers, LMT
- Massage Therapist
- Scarborough, ME
National Provider Identifier
1992386783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT6847
- Practice address
- 241 Black Point Rd
Scarborough, ME 04074-9356 - Phone
- (435) 602-3077
- NPI assigned
- Apr 14, 2021
- Sex
- Female
- Sole proprietor
- No
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 | MT6847 | ME | Primary |
Addresses
Primary practice location
241 Black Point Rd
Scarborough, ME 04074-9356
Mailing address
PO Box 216
Stratton, ME 04982-0216
Phone (435) 602-3077
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 |
|---|---|---|---|
| MT6847 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1992386783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 216",
"city": "STRATTON",
"state": "ME",
"postal_code": "049820216",
"telephone_number": "435-602-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 BLACK POINT RD",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749356",
"telephone_number": "435-602-3077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIRKERS",
"first_name": "ANGELA",
"middle_name": "KATHRYN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-14",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT6847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.