Active NPI
Calvin Ngo
- Massage Therapist
- Orlando, FL
National Provider Identifier
1013554096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 91717
- Practice address
- 6900 Tavistock Lakes Blvd Ste 110
Orlando, FL 32827-7590 - Phone
- (407) 906-6550
- NPI assigned
- Dec 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 91717 | FL | Primary |
Addresses
Primary practice location
6900 Tavistock Lakes Blvd Ste 110
Orlando, FL 32827-7590
Mailing address
1146 Delphinium Dr
Orlando, FL 32825-6712
Phone (407) 929-2325
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 |
|---|---|---|---|
| 91717 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Owl Massage | Massage Therapist | Current | Accepting new patients |
Locations
6900 Tavistock Lakes Blvd
Ste 110
Orlando, FL 32827
Phone (321) 225-6505
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.
-
- Massage Therapist
- Orlando, FL
- NPI 1376131896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1013554096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1146 DELPHINIUM DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328256712",
"telephone_number": "407-929-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 TAVISTOCK LAKES BLVD STE 110",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277590",
"telephone_number": "407-906-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "CALVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-09",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "91717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.