Philip Dyke, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA-20703 Issued in FL

Practice address

3975 20TH St
Suite E
Vero Beach, FL 32960-2494

Phone

(772) 569-7770

Fax

(772) 569-7770

NPI assigned

Aug 27, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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 and Facial Works, LLC

  • Clinic/Center
  • Vero Beach, FL
  • NPI 1326339482
  NPD (past) Authorized official

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1023324092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 20TH ST",
            "address_2": "SUITE E",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602494",
            "telephone_number": "772-569-7770",
            "fax_number": "772-569-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 20TH ST",
            "address_2": "SUITE E",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602494",
            "telephone_number": "772-569-7770",
            "fax_number": "772-569-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKE",
        "first_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA-20703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin S. Swann, P.a.-C.
• George T Duvall III, MD
• Dwic of Tampa Bay, Inc
• Dottie Dean Dyer-Morgan, DDS
• Elena Dyer, MD
• Dynamic Senior Home Care LLC
• Nicole Dyne, M.S. CCC-SLP
• Kim A Dyson, CNM
• E & R VB Ventures, LLC
• Dean W Earl, OPTICIAN

• Massage Therapist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.