Eastern Therapeutic LLC
NPI 1508641465ActiveOrganization· Massage Therapist· Cromwell, CT
Massage Therapist in Cromwell, Connecticut, registered in NPPES in August 2023. The authorized official on file is Crystal Pavis, LMT, Massage Therapist.
Overview
| NPI | 1508641465 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2023 |
| Last updated in NPPES | Aug 29, 2023 |
| Certified by provider | Aug 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Massage Therapist Primary | 225700000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other massage therapists in Cromwell
- 1982442679
- 1043945165
- 1144067232