NPIMap

Organization Active NPI

Gentle Massage Therapy, Inc

  • Massage Therapist
  • Lauderdale Lakes, FL
National Provider Identifier
1073744488
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
40187 Issued in FL
Legal business name
GENTLE MASSAGE THERAPY, INC
Practice address
5041 W Oakland Park Blvd Apt 308
Lauderdale Lakes, FL 33313-1564
Phone
(786) 866-9727
Fax
(954) 953-2192
NPI assigned
Aug 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Maximo R Lopez, MA 40187NPI 1356675995
Title
Massage Therapist
Phone
(786) 866-9727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 40187 FL Primary

Addresses

Primary practice location

5041 W Oakland Park Blvd Apt 308
Lauderdale Lakes, FL 33313-1564

Mailing address

5041 W Oakland Park Blvd Apt 308
Lauderdale Lakes, FL 33313-1564
Phone (786) 866-9727

Other practice location 1

850 SW 2nd Ave Unit 1702
Miami, FL 33130
Phone (786) 866-9727

Other identifiers 1

IdentifierTypeStateIssuer
1356675995MedicaidFL

Other names 1

  • Gentle Massage Therapy Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Gentle Massage Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1073744488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 W OAKLAND PARK BLVD APT 308",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131564",
            "telephone_number": "786-866-9727",
            "fax_number": "954-953-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 W OAKLAND PARK BLVD APT 308",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131564",
            "telephone_number": "786-866-9727",
            "fax_number": "954-953-2192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 SW 2nd Ave Unit 1702",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33130",
            "country_code": "US",
            "telephone_number": "786-866-9727",
            "fax_number": "786-999-8234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENTLE MASSAGE THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MAXIMO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "786-866-9727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA 40187"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "40187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356675995",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Massage Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Gentle Massage Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.