Active NPI
Olga Belousova, LMT
- Massage Therapist
- Jacksonville, FL
National Provider Identifier
1053120097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 55644
- Practice address
- 1201 Mayport Landing Cir
Jacksonville, FL 32233-6508 - Phone
- (904) 451-6138
- NPI assigned
- Jan 3, 2025
- 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 | 55644 | FL | Primary |
Addresses
Primary practice location
1201 Mayport Landing Cir
Jacksonville, FL 32233-6508
Mailing address
1201 Mayport Landing Cir
Jacksonville, FL 32233-6508
Phone (904) 451-6138
Other names 1
- Olga Lyons
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 |
|---|---|---|---|
| 55644 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1053120097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 MAYPORT LANDING CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322336508",
"telephone_number": "904-451-6138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 MAYPORT LANDING CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322336508",
"telephone_number": "904-451-6138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELOUSOVA",
"first_name": "OLGA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-03",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "55644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLGA",
"last_name": "LYONS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.