Individual provider Active NPI

Cynthia Del Carmen Thomas

  • Massage Therapist
  • Virginia Beach, VA
National Provider Identifier
1093573453
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019019112 Issued in VA
Practice address
3852 Virginia Beach Blvd Ste B
Virginia Beach, VA 23452-2489
Phone
(757) 402-3092
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019019112 VA Primary

Addresses

Primary practice location

3852 Virginia Beach Blvd Ste B
Virginia Beach, VA 23452-2489

Mailing address

3852 Virginia Beach Blvd Ste B
Virginia Beach, VA 23452-2489
Phone (757) 402-3092

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

State licenses

LicenseStateTypeSpecialty
0019019112VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Life Massage LLC Massage Therapist PastSince Mar 17, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1093573453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3852 VIRGINIA BEACH BLVD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522489",
            "telephone_number": "757-402-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3852 VIRGINIA BEACH BLVD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522489",
            "telephone_number": "757-402-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CYNTHIA",
        "middle_name": "DEL CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019019112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.