Individual provider Active NPI

Susan R Higley, L.M.T.

  • Massage Therapist
  • Pinellas Park, FL
National Provider Identifier
1033486576
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA41530 Issued in FL
Practice address
7780 49TH St N # 146
Pinellas Park, FL 33781-3440
Phone
(727) 475-6630
NPI assigned
Nov 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH7097 FL
Massage Therapist 225700000X MA41530 FL Primary

Addresses

Primary practice location

7780 49TH St N # 146
Pinellas Park, FL 33781-3440

Mailing address

6471 64TH Ave N
Pinellas Park, FL 33781-5217
Phone (727) 459-6630

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

LicenseStateTypeSpecialty
DH7097FLMDDental Hygienist
MA41530FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1033486576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6471 64TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815217",
            "telephone_number": "727-459-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 49TH ST N # 146",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813440",
            "telephone_number": "727-475-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGLEY",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH7097",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA41530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.