Individual provider Active NPI

Anita Thomas, LICENSED MASSAGE THE

  • Massage Therapist
  • Riverview, FL
National Provider Identifier
1144460197
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MM55335 Issued in FL
Practice address
10812 Providence Oaks Dr
Riverview, FL 33578-3645
Phone
(813) 758-9957
NPI assigned
Mar 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MM55335 FL Primary

Addresses

Primary practice location

10812 Providence Oaks Dr
Riverview, FL 33578-3645

Mailing address

10812 Providence Oaks Dr
Riverview, FL 33578-3645
Phone (813) 758-9957

Other names 1

  • Ms. Anita Griffin Former name

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
MM55335FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1144460197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10812 PROVIDENCE OAKS DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783645",
            "telephone_number": "813-758-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10812 PROVIDENCE OAKS DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783645",
            "telephone_number": "813-758-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANITA",
        "name_prefix": "Ms.",
        "credential": "LICENSED MASSAGE THE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM55335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "GRIFFIN",
            "prefix": "MS.",
            "credential": "LICENSED MASSAGE THE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.