Organization Active NPI

Ayur Massage Therapy, LLC

  • Massage Therapist
  • Fort Pierce, FL
National Provider Identifier
1093405201
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
AYUR MASSAGE THERAPY, LLC
Practice address
2221 S 25TH St
Fort Pierce, FL 34947-4796
Phone
(772) 408-9474
Fax
(772) 318-4820
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Ms. Mieka Alicia Campbell, LMP
Title
Owner/LMP
Phone
(772) 408-9474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2221 S 25TH St
Fort Pierce, FL 34947-4796

Mailing address

2221 S 25TH St
Fort Pierce, FL 34947-4796
Phone (772) 408-9474

National Provider Directory

National Provider Directory

Locations

2221 S 25th St
Fort Pierce, FL 34947
Phone (772) 408-9474

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1093405201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474796",
            "telephone_number": "772-408-9474",
            "fax_number": "772-318-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474796",
            "telephone_number": "772-408-9474",
            "fax_number": "772-318-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYUR MASSAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MIEKA",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER/LMP",
        "authorized_official_telephone_number": "772-408-9474",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "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 May 10, 2023; 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.