MEDSPORT MASSAGE, LLC (NPI# 1639666506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639666506 |
| Entity Type | Organization |
| Organization Name | MEDSPORT MASSAGE, LLC |
| Other Organization Name | SUSAN M PETERS, SOLE MBR |
| Practice Address |
39 River Road Suite 1 New Castle ME 04553-0074 |
| Mailing Address |
Medsport Massage Po Box 74 New Castle ME 04553-0074 |
| Practice Telephone | 2078077465 |
| Practice Fax Number | 2078827439 |
| Mailing Telephone | 2078077465 |
| Mailing Fax Number | 2078827439 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |
| Authorized Official Name | MS. SUSAN M PETERS (OWNER OF MEDSPORT MASSAGE) |
| Authorized Official Telephone | 2078077465 |
| Authorized Official Credential | LICENSED MASSAGE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT4833 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Susan M Peters, Sole MBR | Doing Business As Name - Organization |
| Street Address |
39 RIVER ROAD SUITE 1 |
| City | NEW CASTLE |
| State | ME |
| Zip Code | 04553-0074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134556194 | Lydia Deere-macleod | Social Worker | 19 Timber Lane, Newcastle, ME 04553 | 2013-10-04 |
| 1033105135 | Carrie Elizabeth Levine | Midwife | 608 River Road, Newcastle, ME 04553 | 2005-09-23 |
| 1750545471 | Roy E Seibel Jr Md Pa | Ophthalmology | 71 Main St, Newcastle, ME 04553 | 2008-07-11 |
| 1194921023 | Robert M. Dewitt, Jr., Dds, Ms, Pa | Dentist | 50 Main Street, Newcastle, ME 04553 | 2007-06-26 |
| 1447253703 | John W Lewis | Ophthalmology | 71 Main St, Box 216, Newcastle, ME 04553 | 2005-05-31 |
| 1326239583 | Valerie S Seibel | Technician/Technologist | 71 Main Street, Newcastle, ME 04553-0658 | 2007-08-05 |
| 1700012952 | Malissa Lee Landry | Massage Therapist | 17 Lincoln Ln, Newcastle, ME 04553-3313 | 2009-06-02 |
| 1477639268 | Anne C Jacobs | Acupuncturist | 10 Glidden St, Newcastle, ME 04553-3400 | 2006-10-27 |
| 1326231960 | Jacqueline Alana Cygnus Belknap | Social Worker | 10 Mills Rd Ste B, Newcastle, ME 04553-3407 | 2007-08-27 |
| 1417214370 | Kaitlyn W. Nolan | Ophthalmology | 71 Main St., Newcastle, ME 04553-3426 | 2012-04-17 |
| Find all providers in zip 04553 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788951 | Sharanda Mason | Massage Therapist | 110 Chesterfield Dr, New Castle, DE 19720-1225 | 2020-10-19 |
| 1811466469 | Sonni Lee Jackson | Massage Therapist | 151 E Clubhouse Dr, New Castle, CO 81647-9424 | 2018-11-13 |
| 1508376252 | Vernita Roberts | Massage Therapist | 11 Parkway Cir Ste 104, New Castle, DE 19720-4077 | 2017-10-09 |
| 1609305051 | Susan Lydia Brown | Massage Therapist | 25 Jay Drive, New Castle, DE 19720 | 2017-06-08 |
| 1184008880 | Samantha Noel Jaggers | Massage Therapist | 525 Lagrange Rd, New Castle, KY 40050-6743 | 2015-07-13 |
| 1235405457 | Nicole Ann George | Massage Therapist | 3118 Boughter Dr, New Castle, PA 16101-7240 | 2012-04-02 |
| 1639477052 | Magdalena Marie Cohen | Massage Therapist | 5 Auburn Dr, New Castle, DE 19720-2305 | 2011-03-09 |
| 1548578107 | Michelle R Hanna | Massage Therapist | 916 Boroline St, New Castle, PA 16101-1902 | 2010-09-16 |
| 1730314410 | One To One Rehabilitation and Aquitics | Massage Therapist | 4092 Wampum Rd, New Castle, PA 16102-3460 | 2009-05-24 |
| 1083823975 | Cynthia A Wetzel | Massage Therapist | 234 E Hazelcroft Ave, New Castle, PA 16105-2176 | 2007-05-21 |
| Find all providers in NEW CASTLE | ||||
| City | NEW CASTLE |
| Zip Code | 04553 |
Please comment or provide details below to improve the information on MEDSPORT MASSAGE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.