Active NPI
Carl James Rutledge, NMT LMT MSOM
- Massage Therapist
- St Petersburg, FL
National Provider Identifier
1003315516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA59841
- Practice address
- 7229 Central Ave
St Petersburg, FL 33710-7413 - Phone
- (727) 258-4786
- Fax
- (727) 258-4786
- NPI assigned
- Feb 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA59841 | FL | Primary |
Addresses
Primary practice location
7229 Central Ave
St Petersburg, FL 33710-7413
Mailing address
7229 Central Ave
St Petersburg, FL 33710-7413
Phone (727) 258-4786
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 |
|---|---|---|---|
| MA59841 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind & Body Clinic Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- St Petersburg, FL
- NPI 1437649381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518220800000",
"number": "1003315516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7229 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337107413",
"telephone_number": "727-258-4786",
"fax_number": "727-258-4786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7229 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337107413",
"telephone_number": "727-258-4786",
"fax_number": "727-258-4786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTLEDGE",
"first_name": "CARL",
"middle_name": "JAMES",
"credential": "NMT LMT MSOM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-10",
"last_updated": "2018-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA59841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.