Individual provider Active NPI

Pamela Pearl Brombly, L.M.T.

  • Massage Therapist
  • Hobe Sound, FL
National Provider Identifier
1043620842
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA49497 Issued in FL
Practice address
7124 SE Osprey St
Hobe Sound, FL 33455-6159
Phone
(772) 285-0130
NPI assigned
May 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA49497 FL Primary

Addresses

Primary practice location

7124 SE Osprey St
Hobe Sound, FL 33455-6159

Mailing address

7124 SE Osprey St
Hobe Sound, FL 33455-6159
Phone (772) 285-0130

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
MA49497FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1043620842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 SE OSPREY ST",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334556159",
            "telephone_number": "772-285-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 SE OSPREY ST",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334556159",
            "telephone_number": "772-285-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMBLY",
        "first_name": "PAMELA",
        "middle_name": "PEARL",
        "name_prefix": "Miss",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA49497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobe Sound, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.