NPIMap

Organization Active NPI

Gardners Massage Therapy

  • Specialist
  • St Augustine, FL
National Provider Identifier
1093008146
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MM20376 Issued in FL
Legal business name
GARDNERS MASSAGE THERAPY
Practice address
115A Flagler Blvd
St Augustine, FL 32080-3795
Phone
(904) 460-9444
Fax
(904) 460-9444
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Mr. Christopher B Gardner, LMTNPI 1164715264
Title
President / Owner
Phone
(904) 460-9444

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MM20376 FL Primary

Addresses

Primary practice location

115A Flagler Blvd
St Augustine, FL 32080-3795

Mailing address

115A Flagler Blvd
St Augustine, FL 32080-3795
Phone (904) 460-9444

National Provider Directory

National Provider Directory

Locations

115A Flagler Blvd
St Augustine, FL 32080
Phone (904) 460-9444

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": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1093008146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115A FLAGLER BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803795",
            "telephone_number": "904-460-9444",
            "fax_number": "904-460-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115A FLAGLER BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803795",
            "telephone_number": "904-460-9444",
            "fax_number": "904-460-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNERS MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "904-460-9444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "MM20376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.