Active NPI
Xiao Qian Zhao, LMT
- Massage Therapist
- Kissimmee, FL
National Provider Identifier
1124226949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M42050
- Practice address
- 806 N Main St
Kissimmee, FL 34744-4564 - Phone
- (407) 343-6111
- Fax
- (407) 343-6116
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M42050 | FL | Primary |
Addresses
Primary practice location
806 N Main St
Kissimmee, FL 34744-4564
Mailing address
PO Box 771721
Orlando, FL 32877-1721
Phone (407) 761-1534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA 42050 | Other | FL | MASSAGE THERAPIST |
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 |
|---|---|---|---|
| M42050 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124226949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 771721",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328771721",
"telephone_number": "407-761-1534",
"fax_number": "407-343-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 N MAIN ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444564",
"telephone_number": "407-343-6111",
"fax_number": "407-343-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHAO",
"first_name": "XIAO",
"middle_name": "QIAN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "M42050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "MA 42050",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.