Active NPI
Debra Knight, RN, BSN, LMT
- Massage Therapist
- Coral Springs, FL
National Provider Identifier
1063743193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA51056
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA51056 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Massage Therapist
- Coral Springs, FL
- NPI 1437472925
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.