Micah Baldwin, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA54264 Issued in FL

Practice address

5909 Roble Loma Dr
Pensacola, FL 32526-2250

Phone

(850) 449-5631

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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 by Micah LLC

  • Massage Therapist
  • Gulf Breeze, FL
  • NPI 1821767153
  NPD Authorized official

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1134723901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 ROBLE LOMA DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325262250",
            "telephone_number": "850-449-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 ROBLE LOMA DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325262250",
            "telephone_number": "850-449-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "MICAH",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA54264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pensacola",
            "affiliation": "N",
            "address_1": "5909 Roble Loma Dr",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325262250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Balance Medical, LLC
• William R. Balchunas, M.D.
• Cheryl Feacher Baldwin
• David D Baldwin, MD
• Melody Lynn Baldwin, RN
• Michele Colene Balkom, ARNP
• Jason Ballard
• Kristen Rushell Ballard, ARNP
• Mark Ballou Jr., MSW, LCSW
• Daniel Joseph Ballow, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.