Active NPI
Debra K Specht, LMT
- Massage Therapist
- Englewood, FL
National Provider Identifier
1134366750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA86858
- Practice address
- 579 S Indiana Ave Ste C
Englewood, FL 34223-3751 - Phone
- (941) 681-0039
- NPI assigned
- Jan 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | MA86858 | FL | Primary |
Addresses
Primary practice location
579 S Indiana Ave Ste C
Englewood, FL 34223-3751
Mailing address
1 Dover Dr
Englewood, FL 34223-4637
Phone (503) 551-0058
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 |
|---|---|---|---|
| MA86858 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dreamscape Massage LLC | Single Specialty | Current | Accepting new patients |
Locations
1540 S McCall Rd
Englewood, FL 34223
Phone (941) 681-0039
579 S Indiana Ave
Ste C
Englewood, FL 34223
Phone (941) 474-4944
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654300800000",
"number": "1134366750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DOVER DR",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342234637",
"telephone_number": "503-551-0058",
"fax_number": "941-460-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 S INDIANA AVE STE C",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342233751",
"telephone_number": "941-681-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPECHT",
"first_name": "DEBRA",
"middle_name": "K",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2022-06-04",
"certification_date": "2022-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA86858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.