Individual provider Active NPI

Adam Byrn Tritt, LMT

  • Massage Therapist
  • Palm Bay, FL
National Provider Identifier
1073748976
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA54881 Issued in FL
Practice address
1071 Port Malabar Blvd NE
Suite 106
Palm Bay, FL 32905-5161
Phone
(321) 676-3383
Fax
(321) 676-3384
NPI assigned
May 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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 MA54881 FL Primary

Addresses

Primary practice location

1071 Port Malabar Blvd NE
Suite 106
Palm Bay, FL 32905-5161

Mailing address

990 Darwin LN NE
Palm Bay, FL 32905-5927
Phone (321) 961-5885

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

LicenseStateTypeSpecialty
MA54881FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1073748976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 DARWIN LN NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055927",
            "telephone_number": "321-961-5885",
            "fax_number": "321-676-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 PORT MALABAR BLVD NE",
            "address_2": "SUITE 106",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055161",
            "telephone_number": "321-676-3383",
            "fax_number": "321-676-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRITT",
        "first_name": "ADAM",
        "middle_name": "BYRN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA54881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.