Medical Massage & Therapy Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MM 17024 Issued in FL

Legal business name

MEDICAL MASSAGE & THERAPY INC.

Practice address

13911 Lakeshore Blvd Unit 102
Hudson, FL 34667-7102

Phone

(727) 869-3803

Fax

(727) 869-9126

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Juliet Neely Sides, LMTNPI 1811048341

Title

Owner

Phone

(727) 869-3803

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juliet Neely Sides, LMT

  • Specialist
  • Hudson, FL
  • NPI 1811048341
  NPD (past) Authorized official
• Timothy Ray Walendzik, LMT

  • Contractor
  • Hudson, FL
  • NPI 1114078961
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114078649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 LAKESHORE BLVD UNIT 102",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677102",
            "telephone_number": "727-869-3803",
            "fax_number": "727-869-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 LAKESHORE BLVD UNIT 102",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677102",
            "telephone_number": "727-869-3803",
            "fax_number": "727-869-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MASSAGE & THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIDES",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "NEELY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-869-3803",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "MM 17024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Denise McWhirter, AGACNP-BC
• Medfleet LLC
• Medical Associates of West Florida Network, Inc.
• Medical Development Corporation of Pasco County, Inc
• Medical Home Doctors
• Medical Risk Solutions
• Mark Medina, PHARM.D.
• Peter Meggali
• Corey Meles
• Roberto Mendez Berdut

• Specialist in Hudson, FL
• Providers in Hudson, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.