Active NPI
Trystan J Beasley
- Massage Therapist
- North Port, FL
National Provider Identifier
1083525406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA95512
- Practice address
- 9345 Ben C Pratt Six Mile Cypress Pkwy
North Port, FL 34288-3328 - Phone
- (941) 699-6094
- NPI assigned
- Sep 15, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | MA95512 | FL | Primary |
Addresses
Primary practice location
9345 Ben C Pratt Six Mile Cypress Pkwy
North Port, FL 34288-3328
Mailing address
5349 Weatherton St
North Port, FL 34288-3328
Phone (941) 699-6094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1083525406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5349 WEATHERTON ST",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342883328",
"telephone_number": "941-699-6094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9345 BEN C PRATT SIX MILE CYPRESS PKWY",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342883328",
"telephone_number": "941-699-6094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "TRYSTAN",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA95512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.