Organization Active NPI

Bay Massage Therapy Inc

  • Massage Therapist
  • Panama City, FL
National Provider Identifier
1124209788
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA0024837 Issued in FL
Legal business name
BAY MASSAGE THERAPY INC
Practice address
1714 West 23Rd Street
Suite E
Panama City, FL 32405
Phone
(850) 769-7786
Fax
(850) 769-8689
NPI assigned
Nov 23, 2007
Last updated
Nov 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Authorized official

Name
Mrs. Teresa S Jermyn, LMT
Title
President Owner
Phone
(850) 769-7786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA0024837 FL Primary

Addresses

Primary practice location

1714 West 23Rd Street
Suite E
Panama City, FL 32405

Mailing address

1714 West 23Rd Street
Suite E
Panama City, FL 32405
Phone (850) 769-7786

National Provider Directory

National Provider Directory

Locations

1714 W 23rd St
Ste E
Panama City, FL 32405
Phone (850) 276-1932

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1124209788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 WEST 23RD STREET",
            "address_2": "SUITE E",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "850-769-7786",
            "fax_number": "850-769-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 WEST 23RD STREET",
            "address_2": "SUITE E",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "850-769-7786",
            "fax_number": "850-769-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY MASSAGE THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "JERMYN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "850-769-7786",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA0024837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.