Active NPI
Olivia Deeanna Tash, P.T.,L.M.T.
- Massage Therapist
- Brandon, FL
National Provider Identifier
1043460140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MM37863
- Practice address
- 749 W Lumsden Rd
Brandon, FL 33511-6261 - Phone
- (813) 681-6333
- NPI assigned
- Sep 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | MM37863 | FL | Primary |
Addresses
Primary practice location
749 W Lumsden Rd
Brandon, FL 33511-6261
Mailing address
407 Sonoma Dr
Valrico, FL 33594-3041
Phone (813) 679-2925
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 |
|---|---|---|---|
| MM37863 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ubsf, Inc. | Massage Therapist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1043460140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 SONOMA DR",
"city": "VALRICO",
"state": "FL",
"postal_code": "335943041",
"telephone_number": "813-679-2925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 W LUMSDEN RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116261",
"telephone_number": "813-681-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TASH",
"first_name": "OLIVIA",
"middle_name": "DEEANNA",
"name_prefix": "Mrs.",
"credential": "P.T.,L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MM37863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.