Caroline Paula Moody, MASSAGE THERAPIST

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA58462 Issued in FL

Practice address

5800 SW 53Rd St
Lake Butler, FL 32054-5316

Phone

(386) 496-2023

Fax

(386) 496-2023

NPI assigned

Sep 16, 2011

Last updated

Sep 16, 2011By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1043592843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 SW 53RD ST",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "320545316",
            "telephone_number": "386-496-2023",
            "fax_number": "386-496-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 SW 53RD ST",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "320545316",
            "telephone_number": "386-496-2023",
            "fax_number": "386-496-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "CAROLINE",
        "middle_name": "PAULA",
        "name_prefix": "Mrs.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA58462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medlink Management Services Inc (Lake Butler Hospital)
• Medlink Management Services Inc (Lake Butler Family & Pediatric Clinic)
• Medlink Management Services Inc (Ramadan Hand Institute)
• Meridian Behavioral Healthcare
• Meridian Behavioral Healthcare, Inc.
• Kevin Nantz
• Ashley C Nelson
• New River Community Health Care, Inc
• Gloria Lynn Niquette, ARNP
• North Florida Medical Corp. (Union Medical Supply)

• Mechanotherapist in Lake Butler, FL
• Providers in Lake Butler, FL by specialty
• Mechanotherapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.