Individual provider Active NPI

Debra K Specht, LMT

  • Massage Therapist
  • Englewood, FL
National Provider Identifier
1134366750
Registry record updated Jun 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA86858 Issued in FL
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

Updated by the provider on Jun 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
MA86858FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dreamscape Massage LLC Single Specialty CurrentSince Jul 24, 2022 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.

Verify at the official NPI Registry.