Active NPI
Rosemary Obregon, L.M.T.
- Massage Therapist
- Kissimmee, FL
National Provider Identifier
1053563379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA49432
- Practice address
- 9521 S. Orange Blossom Trail
Suite 102
Kissimmee, FL 32837 - Phone
- (407) 855-1700
- Fax
- (407) 855-1714
- NPI assigned
- Oct 17, 2008
- Sex
- Female
- Sole proprietor
- No
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 | MA49432 | FL | Primary |
Addresses
Primary practice location
9521 S. Orange Blossom Trail
Suite 102
Kissimmee, FL 32837
Mailing address
2103 Walden Park Cir
Apt. 102
Kissimmee, FL 34744
Phone (407) 285-0790
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 |
|---|---|---|---|
| MA49432 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1053563379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 WALDEN PARK CIR",
"address_2": "APT. 102",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34744",
"telephone_number": "407-285-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9521 S. ORANGE BLOSSOM TRAIL",
"address_2": "SUITE 102",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "32837",
"telephone_number": "407-855-1700",
"fax_number": "407-855-1714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBREGON",
"first_name": "ROSEMARY",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-17",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA49432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.