Active NPI
Kevin Breton
- Massage Therapist
- Shelton, CT
National Provider Identifier
1992671010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11411
- Practice address
- 389 Bridgeport Ave Ste 111
Shelton, CT 06484-5380 - Phone
- (203) 713-5569
- NPI assigned
- Oct 15, 2025
- Sex
- Male
- 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 | 11411 | CT | Primary |
Addresses
Primary practice location
389 Bridgeport Ave Ste 111
Shelton, CT 06484-5380
Mailing address
389 Bridgeport Ave Ste 111
Shelton, CT 06484-5380
Phone (203) 713-5569
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 |
|---|---|---|---|
| 11411 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1992671010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 BRIDGEPORT AVE STE 111",
"city": "SHELTON",
"state": "CT",
"postal_code": "064845380",
"telephone_number": "203-713-5569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 BRIDGEPORT AVE STE 111",
"city": "SHELTON",
"state": "CT",
"postal_code": "064845380",
"telephone_number": "203-713-5569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRETON",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "11411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.