Active NPI
Lauren Cederstrom
- Massage Therapist
- St. Petersburg, FL
National Provider Identifier
1053293340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 97966
- Practice address
- 721 Dr. M.L.K. Jr St S
St. Petersburg, FL 33705 - Phone
- (585) 957-4491
- NPI assigned
- Jul 25, 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 | 97966 | FL | Primary |
Addresses
Primary practice location
721 Dr. M.L.K. Jr St S
St. Petersburg, FL 33705
Mailing address
346 31St Ave N Apt 4
St Petersburg, FL 33704-2200
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 |
|---|---|---|---|
| 97966 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1053293340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 31ST AVE N APT 4",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337042200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 DR. M.L.K. JR ST S",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "33705",
"telephone_number": "585-957-4491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDERSTROM",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-25",
"last_updated": "2025-07-25",
"certification_date": "2025-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "97966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.