Active NPI
Kyra Rosa, LMT
- Athletic Trainer
- Miami, FL
National Provider Identifier
1104564046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL7460
- Practice address
- 1175 NW 155TH LN Apt 206
Miami, FL 33169-6327 - Phone
- (786) 859-4606
- NPI assigned
- May 20, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA77679 | FL | |
| Athletic Trainer | 2255A2300X | AL7460 | FL | Primary |
Addresses
Primary practice location
1175 NW 155TH LN Apt 206
Miami, FL 33169-6327
Mailing address
1175 NW 155TH LN Apt 206
Miami, FL 33169-6327
Phone (786) 859-4606
Other names 1
- Blendid Body
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
| License | State | Type | Specialty |
|---|---|---|---|
| AL7460 | FL | MD | Athletic Trainer |
| MA77679 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amazing Births, South, Inc | Past | 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.
-
- Doula
- North Miami Beach, FL
- NPI 1184182826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1104564046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 NW 155TH LN APT 206",
"city": "MIAMI",
"state": "FL",
"postal_code": "331696327",
"telephone_number": "786-859-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 NW 155TH LN APT 206",
"city": "MIAMI",
"state": "FL",
"postal_code": "331696327",
"telephone_number": "786-859-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "KYRA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-20",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA77679",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL7460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BLENDID",
"last_name": "BODY",
"credential": "BLENDIDBODY",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.