Marie Caswell Elkins, L.M.T., L.P.T.A

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA34342 Issued in FL

Practice address

4415 Florida National Dr
Suite 110
Lakeland, FL 33813-1563

Phone

(863) 604-5784

Fax

(863) 644-8334

NPI assigned

Oct 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1033360987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 DEER TRACKS TRL",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338112080",
            "telephone_number": "863-604-5784",
            "fax_number": "863-644-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 FLORIDA NATIONAL DR",
            "address_2": "SUITE 110",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131563",
            "telephone_number": "863-604-5784",
            "fax_number": "863-644-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "MARIE",
        "middle_name": "CASWELL",
        "name_prefix": "Ms.",
        "credential": "L.M.T., L.P.T.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA14057",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA34342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Lakeland, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.