360 NEUROMUSCULAR THERAPY, LLC (NPI# 1700198306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700198306 |
| Entity Type | Organization |
| Organization Name | 360 NEUROMUSCULAR THERAPY, LLC |
| Practice Address |
1077 Lexington St Ste 202 Waltham MA 02452-7233 |
| Practice Telephone | 7814443609 |
| Practice Fax Number | 7812097301 |
| Mailing Telephone | 7814443609 |
| Mailing Fax Number | 7812097301 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2019-02-22 |
| Authorized Official Name | MS. LISA MARIE ERICKSON GORMAN (CO-OWNER) |
| Authorized Official Telephone | 7814443609 |
| Authorized Official Credential | CNMT, CMTPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 167 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | 360 NEUROMUSCULAR THERAPY, LLC | 35 Highland Circle, Needham, MA 02494 |
| Street Address |
1077 LEXINGTON ST STE 202 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02452-7233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
| 1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
| 1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
| 1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
| 1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
| Find all providers in zip 02452 | ||||
| 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 |
|---|---|---|---|---|
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891736 | Ashish Karintikal | Massage Therapist | 118 Emmons St Apt 2, Franklin, MA 02038-2187 | 2020-11-05 |
| 1720689839 | Nichole Aline Cross | Massage Therapist | 45 Main St Ste C1, Wareham, MA 02571-2152 | 2020-11-04 |
| 1750981742 | Vincent Tieu | Massage Therapist | 34 Kenilworth St, Malden, MA 02148-2823 | 2020-10-28 |
| 1417556937 | Heidi Gean Eggerling | Massage Therapist | 200 Main St Ste 205, Falmouth, MA 02540-2779 | 2020-10-26 |
| 1730788324 | Debra Merle Baker | Massage Therapist | 10 Holworthy Pl, Cambridge, MA 02138-4510 | 2020-10-23 |
| 1851990865 | Andria Goddard | Massage Therapist | 570 Kelley Blvd., Unit 2b, North Attleboro, MA 02760 | 2020-10-21 |
| 1396344248 | Norine Lopes | Massage Therapist | 102 Green St Apt 1, Brockton, MA 02301-7214 | 2020-10-21 |
| 1225636533 | Suleidy Bautista | Massage Therapist | 580 Salem St Apt 36, Wakefield, MA 01880-1274 | 2020-10-09 |
| 1962009795 | Adam Riggio | Massage Therapist | 100 Merrimack St Ste 305, Lowell, MA 01852-1706 | 2020-10-05 |
| 1033726260 | Cristina Crawford | Massage Therapist | 18 Great Hollow, Truro, MA 02666-1035 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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| 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.