Thomas Joseph Fasone, MASSAGE THERAPIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA-14579 Issued in FL

Practice address

290 Clyde Morris Blvd
Suite B-2
Ormond Beach, FL 32174-8130

Phone

(386) 258-7900

Fax

(386) 898-0459

NPI assigned

Dec 13, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Massage Therapy Services

  • Specialist
  • Ormond Beach, FL
  • NPI 1386912707
  NPD (past) Authorized official
• Progressive Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Ormond Beach, FL
  • NPI 1013088962
  NPD (past)

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1134497555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730354",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321730354",
            "telephone_number": "386-258-7900",
            "fax_number": "386-898-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CLYDE MORRIS BLVD",
            "address_2": "SUITE B-2",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748130",
            "telephone_number": "386-258-7900",
            "fax_number": "386-898-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASONE",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA-14579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Practice on the Go of Florida
• Carlos Javier Farach, M.D.
• Danny M Farmer, MD
• Harry Frank Farmer Jr., MD
• Lisa Ann Farrar, DPM
• Jeffrey J Fatta
• Frank J Favaro, MA-CCC-A
• Alexa Feliciano
• Janice Lea Felisko, LMT
• Matthew Wayne Fentress, D.C.

• All providers in Ormond Beach, FL
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.