Individual provider Active NPI

Angela Faye Vadney, LMT

  • Massage Therapist
  • Melbourne, FL
National Provider Identifier
1114728706
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA94377 Issued in FL
Practice address
2090 Sarno Rd
Melbourne, FL 32935-3077
Phone
(321) 243-0667
NPI assigned
Mar 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 MA94377 FL Primary

Addresses

Primary practice location

2090 Sarno Rd
Melbourne, FL 32935-3077

Mailing address

2262 Hialeah St NE
Palm Bay, FL 32907-2649
Phone (321) 243-0667

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
MA94377FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1114728706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 HIALEAH ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072649",
            "telephone_number": "321-243-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 SARNO RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353077",
            "telephone_number": "321-243-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADNEY",
        "first_name": "ANGELA",
        "middle_name": "FAYE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA94377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

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

Verify at the official NPI Registry.