Active NPI
Ted Paul
- Massage Therapist
- Delray Beach, FL
National Provider Identifier
1003279993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 83633
- Practice address
- 2127 SW 13 CT
Delray Beach, FL 33445 - Phone
- (561) 926-3143
- NPI assigned
- Mar 30, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | IN PROGRESS | FL | |
| Massage Therapist | 225700000X | 83633 | FL | Primary |
Addresses
Primary practice location
2127 SW 13 CT
Delray Beach, FL 33445
Mailing address
100 E Linton Blvd 131a
Delray Beach, FL 33483
Phone (561) 926-3143
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 |
|---|---|---|---|
| 83633 | FL | MD | Massage Therapist |
| IN PROGRESS | FL | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1003279993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LINTON BLVD 131A",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "33483",
"telephone_number": "561-926-3143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2127 SW 13 CT",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "33445",
"telephone_number": "561-926-3143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "TED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": "IN PROGRESS",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "83633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.