Active NPI
North River Body Therapies
- Massage Therapist
- Ellenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA29664
- Legal business name
- NORTH RIVER BODY THERAPIES
- Practice address
- 905 25TH Dr E
Ellenton, FL 34222-2053 - Phone
- (941) 721-4559
- Fax
- (941) 721-0142
- NPI assigned
- Jul 24, 2008
- Last updated
- Oct 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nicole Ann Deitrick, LMT
- Title
- Owner/Provider
- Phone
- (941) 721-4559
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA29664 | FL | Primary |
Addresses
Primary practice location
905 25TH Dr E
Ellenton, FL 34222-2053
Mailing address
905 25TH Dr E
Ellenton, FL 34222-2053
Phone (941) 721-4559
National Provider Directory
National Provider Directory- Tax ID family
- North River Body Therapies
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Massage Therapist
- Palmetto, FL
- NPI 1124371380
Locations
905 25th Dr E
Ellenton, FL 34222
Phone (941) 721-4559
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Palmetto, FL
- NPI 1184638447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1083879464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 25TH DR E",
"city": "ELLENTON",
"state": "FL",
"postal_code": "342222053",
"telephone_number": "941-721-4559",
"fax_number": "941-721-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 25TH DR E",
"city": "ELLENTON",
"state": "FL",
"postal_code": "342222053",
"telephone_number": "941-721-4559",
"fax_number": "941-721-0142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH RIVER BODY THERAPIES",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-24",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "DEITRICK",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "941-721-4559",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA29664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellenton, FL
- Rajiv Motwani, DMD
- Rajsekhar Mukkamala, DDS
- Delynne Marie Murphy, D.O.
- John Marshall Nelson, M.D.
- Courtney Nichelle Newsome, RPH
- North River Dental Group, PA
- Northland Hearing Center, Inc. (Audibel Hearing Aid Center)
- Northland Hearing Centers Inc (Hearing Centers of Florida)
- Michelle Lynn Nungester, FNP-C
- Thomas Patrick O'Donnell, ED.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.