Ag Massage & Bodywork LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

AG MASSAGE & BODYWORK LLC

Practice address

1985 Howell Branch Rd
Maitland, FL 32751-5901

Phone

(407) 720-8511

NPI assigned

Jul 15, 2020

Last updated

Jul 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Gonsalves, LMT, RCANPI 1588186860

Title

Owenr

Phone

(407) 720-8511

Specialties & licenses 1

Addresses

Locations

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.

• Andrea Gonsalves, LMT

  • Massage Therapist
  • Maitland, FL
  • NPI 1588186860

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1124636212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR STE 1853",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "407-720-8511",
            "fax_number": "407-612-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 HOWELL BRANCH RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515901",
            "telephone_number": "407-720-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG MASSAGE & BODYWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "GONSALVES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWENR",
        "authorized_official_telephone_number": "407-720-8511",
        "authorized_official_credential": "LMT, RCA"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Maitland, FL
• Providers in Maitland, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.