Mischelle Anntoinette Talkington, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA28258 Issued in FL

Practice address

827 Cypress Village Blvd
Ruskin, FL 33573-6838

Phone

(813) 633-0669

Fax

(813) 633-0881

NPI assigned

Jun 27, 2007

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

Other names 1

• Mischelle Anntoinette Shafer Professional name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Garner Physical Therapy Center LLC

  • Physical Therapist
  • Ruskin, FL
  • NPI 1659387314
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174720965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 TRALEE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335696450",
            "telephone_number": "813-731-9242",
            "fax_number": "813-633-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 CYPRESS VILLAGE BLVD",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736838",
            "telephone_number": "813-633-0669",
            "fax_number": "813-633-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALKINGTON",
        "first_name": "MISCHELLE",
        "middle_name": "ANNTOINETTE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA28258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISCHELLE",
            "last_name": "SHAFER",
            "middle_name": "ANNTOINETTE",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sunshine Balanced Care LLC
• Superior Care Pharmacy LLC (Superior Care Pharmacy)
• Barbara Danuta Szafranska, PHYSICAL THERAPIST
• T and G Inc (Advanced Chiropractic of Ruskin)
• Tag Holistc Fitness LLC
• Tampa Bay Community Services, Inc.
• Denisse Tavarez Gonzalez, PHARMD
• Lavoia Ynette Taylor
• The Shoe Lab, Inc
• Therapeutic Play Occupational Therapy Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.