Active NPI
Felicia Porter
- Massage Therapist
- Port St Lucie, FL
National Provider Identifier
1154636900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 51246
- Practice address
- 1042 SW Haleyberry Ave
Port St Lucie, FL 34953-6750 - Phone
- (772) 626-9429
- NPI assigned
- Aug 17, 2010
- 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 | 51246 | FL | Primary |
Addresses
Primary practice location
1042 SW Haleyberry Ave
Port St Lucie, FL 34953-6750
Mailing address
1042 SW Haleyberry Ave
Port St Lucie, FL 34953
Phone (772) 626-9429
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 |
|---|---|---|---|
| 51246 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The House of Cares Alf Inc. at Meadowlark | Current | Accepting new patients |
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.
-
- Assisted Living Facility
- Royal Palm Beach, FL
- NPI 1285331330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1154636900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1042 SW HALEYBERRY AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "34953",
"telephone_number": "772-626-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1042 SW HALEYBERRY AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349536750",
"telephone_number": "772-626-9429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "FELICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-17",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "51246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
- Port St Lucie Pain Management Specialists Inc (Port St Lucie Pain Management Specialists)
- Port St Lucie Retirement Investors LLC
- Port St Lucie Surgery Center LTD
- Port St. Lucie FL Opco LLC
- Port St. Lucie Operations, LLC (Life Care Center of Port St. Lucie)
- Portia F Boatwright Inc (Simple Choice Healthcare)
- Positive Solutions
- Positive Solutions PCS
- Kevin Posner, DO
- Antonio Poto Jr., DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.