ESSENTIAL BODYWORK (NPI# 1679121065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679121065 |
| Entity Type | Organization |
| Organization Name | ESSENTIAL BODYWORK |
| Practice Address |
136 W Main Rd Middletown RI 02842-4985 |
| Practice Telephone | 4018621042 |
| Mailing Telephone | 4018621042 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | MEREDITH ELLEN MARTIN (CEO) |
| Authorized Official Telephone | 4018621042 |
| Authorized Official Credential | LMT, NTP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Deeper Dive Wellness | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ESSENTIAL BODYWORK AND MASSAGE, INC. | 20 Shapley Avenue, Medford, MA 02155 |
| Indiana Business Entities | ESSENTIAL BODYWORK LLC | 1100 S. Calumet Road #2, Chesterton, IN 46304 |
| New York State Corporations | ESSENTIAL BODYWORK MASSAGE THERAPY P.C. | Po Box 66, Patchogue, Ny 11772 |
| Virginia Business Entities | Essential Bodyworks LLC | 115 West Broad Street, Richmond, Virginia 23220-4276 |
| Colorado Business Entities | Essential Bodyworks, Inc. | 2008b W 120th Ave, Westminster, CO 80234 |
| Oregon Corporations, Companies and Business Names | ESSENTIAL BODYWORKS, LLC | 2119 Sw 35th St, Redmond, OR 97756 |
| Street Address |
136 W MAIN RD |
| City | MIDDLETOWN |
| State | RI |
| Zip Code | 02842-4985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
| 1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
| 1790201861 | Logan Christopher Menard | Specialist/Technologist | 4 Orville Drive, Middletown, RI 02842 | 2017-08-20 |
| 1295149714 | Jacquelyn Marez | Occupational Therapy Assistant | 1998 West Main Rd, Middletown, RI 02842 | 2014-06-12 |
| 1144660465 | Brittney Lea Barry | Audiologist | Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 | 2013-07-01 |
| 1912262445 | Wendy S Drysdale | Student in an Organized Health Care Education/Training Program | 372 Purgatory Road, St. George's School, Middletown, RI 02842 | 2012-07-11 |
| 1912294778 | Laurie B Phenix | Pharmacist | 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 | 2011-06-30 |
| 1023278249 | Ann Marie Efflandt | Speech-Language Pathologist | 333 Green Ave, Middletown, RI 02842 | 2008-06-11 |
| 1669631487 | Tiffany Bourquin | Counselor | 575 E Main Rd Unit 4, Middletown, RI 02842 | 2008-06-06 |
| 1104048396 | Valley Primary Care Inc | Family Medicine | 294 Valley Road, Middletown, RI 02842 | 2007-05-03 |
| Find all providers in zip 02842 | ||||
| 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 |
|---|---|---|---|---|
| 1821602376 | Triqi Troy Davis | Massage Therapist | 98 Linden Ave, Middletown, NY 10940-3729 | 2020-09-02 |
| 1992339956 | Roman Allen Roberts | Massage Therapist | 1004 N University Blvd, Middletown, OH 45042-3390 | 2020-02-28 |
| 1952867707 | Thomas J Saucier | Massage Therapist | 575 E Main Rd Suite 5a, Middletown, RI 02842-5288 | 2019-02-18 |
| 1730616483 | Elke Van Delden | Massage Therapist | 7332 Picnic Woods Rd, Middletown, MD 21769-7111 | 2017-05-12 |
| 1417494352 | Jennyb Lmt LLC | Massage Therapist | 831 Route 211 E, Middletown, NY 10941-1443 | 2017-01-31 |
| 1588068654 | Dawn E Uncapher | Massage Therapist | 2 Jersey Ct, Middletown, DE 19709-6813 | 2014-10-17 |
| 1235546912 | Lori Haagen | Massage Therapist | 3270 Fulling Mill Rd, Middletown, PA 17057-3173 | 2014-07-15 |
| 1881930329 | Armin Weis | Massage Therapist | 21 Lake Claire Dr, Middletown, NY 10940-7614 | 2013-01-02 |
| 1457583130 | Natalie Erika Mcintosh | Massage Therapist | 7541 Elk Creek Rd, Middletown, OH 45042-9267 | 2009-08-14 |
| 1801951728 | Richard M Solomon | Massage Therapist | 3268 Fulling Mill Rd, Unit A, Middletown, PA 17057-3173 | 2006-12-22 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 02842 |
Please comment or provide details below to improve the information on ESSENTIAL BODYWORK.
| 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.