Organization Active NPI

Apollo Medical Massage, Inc.

  • Legal Medicine
  • Melbourne, FL
National Provider Identifier
1003826736
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MM14612 Issued in FL
Legal business name
APOLLO MEDICAL MASSAGE, INC.
Practice address
551 S Apollo Blvd
Suite 205
Melbourne, FL 32901-1274
Phone
(321) 259-8226
Fax
(321) 951-8162
NPI assigned
Aug 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mary Catherine Berger
Title
Office Manager
Phone
(321) 676-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X MM14612 FL Primary

Addresses

Primary practice location

551 S Apollo Blvd
Suite 205
Melbourne, FL 32901-1274

Mailing address

551 S Apollo Blvd
Suite 205
Melbourne, FL 32901-1274
Phone (321) 259-8226

Other identifiers 1

IdentifierTypeStateIssuer
MM14612OtherFLMASSAGE LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003826736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 S APOLLO BLVD",
            "address_2": "SUITE 205",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011274",
            "telephone_number": "321-259-8226",
            "fax_number": "321-951-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 S APOLLO BLVD",
            "address_2": "SUITE 205",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011274",
            "telephone_number": "321-259-8226",
            "fax_number": "321-951-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO MEDICAL MASSAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "MARY CATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-676-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "MM14612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "MM14612",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.