Active NPI
Neobody Inc
- Massage Therapist
- Tampa, FL
National Provider Identifier
1093067720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 68053
- Legal business name
- NEOBODY INC
- Practice address
- 1435 W Busch Blvd
Ste B
Tampa, FL 33612-7621 - Phone
- (813) 473-2744
- Fax
- (813) 434-1624
- NPI assigned
- Oct 4, 2012
- Organization subpart
- Yes
- Parent organization
- NEOBODY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ajayi Miller, L.M.T, B.P
- Title
- Massage Therapist/ Owner
- Phone
- (813) 473-2744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 68053 | FL | Primary |
Addresses
Primary practice location
1435 W Busch Blvd
Ste B
Tampa, FL 33612-7621
Mailing address
1435 W Busch Blvd
Ste B
Tampa, FL 33612-7621
Phone (813) 473-2744
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06109200 | Medicaid | FL | |
| 617186600 | Other | FL | OFFICE OF WORKERS COMPENSATION |
| MA 68053 | Other | FL | STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE |
Other names 1
- NeoBody Works
National Provider Directory
National Provider Directory- Part of
- Neobody Inc
Locations
1435 W Busch Blvd
Ste B
Tampa, FL 33612
Phone (813) 473-2744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373068800000",
"number": "1093067720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 W BUSCH BLVD",
"address_2": "STE B",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127621",
"telephone_number": "813-473-2744",
"fax_number": "813-434-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 W BUSCH BLVD",
"address_2": "STE B",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127621",
"telephone_number": "813-473-2744",
"fax_number": "813-434-1624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEOBODY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEOBODY INC",
"enumeration_date": "2012-10-04",
"last_updated": "2013-07-06",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "AJAYI",
"authorized_official_title_or_position": "MASSAGE THERAPIST/ OWNER",
"authorized_official_telephone_number": "813-473-2744",
"authorized_official_credential": "L.M.T, B.P"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 68053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06109200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OFFICE OF WORKERS COMPENSATION",
"identifier": "617186600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE",
"identifier": "MA 68053",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NeoBody Works",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.