Individual provider Active NPI

Debra Knight, RN, BSN, LMT

  • Massage Therapist
  • Coral Springs, FL
National Provider Identifier
1063743193
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA51056 Issued in FL
Practice address
6290 W Sample Rd Ste 102
Coral Springs, FL 33067-3101
Phone
(954) 757-2939
Fax
(954) 757-2930
NPI assigned
Jan 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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 MA51056 FL Primary

Addresses

Primary practice location

6290 W Sample Rd Ste 102
Coral Springs, FL 33067-3101

Mailing address

6290 W Sample Rd Ste 102
Coral Springs, FL 33067-3101
Phone (954) 757-2939

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
MA51056FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Backstretch South Florida Massage Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1063743193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 W SAMPLE RD STE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673101",
            "telephone_number": "954-757-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 W SAMPLE RD STE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673101",
            "telephone_number": "954-757-2939",
            "fax_number": "954-757-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "DEBRA",
        "credential": "RN, BSN, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA51056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.