Active NPI
Judy Alice Davis, MA
- Massage Therapist
- Fort Pierce, FL
National Provider Identifier
1083886469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA46020
- Practice address
- 805 Kaufman Ave
Fort Pierce, FL 34950-6542 - Phone
- (772) 216-8954
- Fax
- (772) 595-6646
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- 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 | MA46020 | FL | Primary |
Addresses
Primary practice location
805 Kaufman Ave
Fort Pierce, FL 34950-6542
Mailing address
805 Kaufman Ave
Fort Pierce, FL 34950-6542
Phone (772) 216-8954
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA46020 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1083886469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 KAUFMAN AVE",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349506542",
"telephone_number": "772-216-8954",
"fax_number": "772-595-6646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 KAUFMAN AVE",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349506542",
"telephone_number": "772-216-8954",
"fax_number": "772-595-6646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JUDY",
"middle_name": "ALICE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA46020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.