Active NPI
Sandra Morris, LMT
- Massage Therapist
- Niceville, FL
National Provider Identifier
1144576125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA54389
- Practice address
- 222 Terri CV
Niceville, FL 32578-3319 - Phone
- (850) 974-3368
- NPI assigned
- Jul 27, 2012
- 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 | MA54389 | FL | Primary |
Addresses
Primary practice location
222 Terri CV
Niceville, FL 32578-3319
Mailing address
4400 Hwy 20 E
Suite 207
Niceville, FL 32578
Phone (850) 974-3368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C10MP | Other | FL | FLORIDA BLUE (BLUE CROSS BLUE SHIELD) |
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 |
|---|---|---|---|
| MA54389 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1144576125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 HWY 20 E",
"address_2": "SUITE 207",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "32578",
"telephone_number": "850-974-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 TERRI CV",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325783319",
"telephone_number": "850-974-3368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "SANDRA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-27",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA54389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE (BLUE CROSS BLUE SHIELD)",
"identifier": "C10MP",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.