North River Body Therapies

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MM10209 Issued in FL

Legal business name

NORTH RIVER BODY THERAPIES

Practice address

1415 10TH St E
Palmetto, FL 34221-4278

Phone

(941) 721-4559

Fax

(941) 721-0142

NPI assigned

Oct 24, 2012

Organization subpart

No

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

Authorized official

Name

Nicole Ann Deitrick, LMTNPI 1184638447

Title

Owner

Phone

(941) 721-4559

Specialties & licenses 1

Addresses

Tax ID family

North River Body Therapies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North River Body Therapies

  • Massage Therapist
  • Ellenton, FL
  • NPI 1083879464
  NPD tax ID

Locations

Practitioners 1

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

• Nicole A Deitrick, LMT

  • Specialist
  • Palmetto, FL
  • NPI 1184638447
  NPD Authorized official

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1124371380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 10TH ST E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214278",
            "telephone_number": "941-721-4559",
            "fax_number": "941-721-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 10TH ST E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214278",
            "telephone_number": "941-721-4559",
            "fax_number": "941-721-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIVER BODY THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "DEITRICK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-721-4559",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM10209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tai Ngo, PHARM.D
• Deborah Nicasio, DNP, APRN, FNP-BC
• Nicholas P Constantine, D.C., P.a.
• Brandy Noack, APRN
• Stephanie L. Norden, COTA/L
• North River Family Health Center PA
• Northland Hearing Centers, Inc.
• Nursing Pros, PLLC
• Kimberly A O'Connor, COTA/L
• Connor O'Donnell

• All providers in Palmetto, FL
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.