Active NPI
Sandra Roldan, LMT
- Massage Therapist
- Hallandale Beach, FL
National Provider Identifier
1174847321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA44797
- Practice address
- 1801 S Ocean Dr
Suite E
Hallandale Beach, FL 33009-4945 - Phone
- (954) 391-7864
- Fax
- (954) 391-8468
- NPI assigned
- Mar 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 | MA44797 | FL | Primary |
Addresses
Primary practice location
1801 S Ocean Dr
Suite E
Hallandale Beach, FL 33009-4945
Mailing address
304 W Hallandale Beach Blvd
Hallandale Beach , FL 33009
Hallandale Beach, FL 33009-5444
Phone (954) 454-4280
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 |
|---|---|---|---|
| MA44797 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Kenton PA | Past | Accepting new patients | |
| Hand & Arm Therapy Specialist'S Inc. | Past | Accepting new patients | |
| Lev Sudakov DC PA | Past | Accepting new patients | |
| Natalia Sudakov, M.D., P.a. | Past | Accepting new patients |
Organizations & group practices 4
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.
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- NPI 1750354726
-
- Chiropractor
- Hollywood, FL
- NPI 1457511172
-
- Physical Therapist
- Hallandale Beach, FL
- NPI 1376731414
-
- Medical Specialty Clinic/Center
- Hallandale Beach, FL
- NPI 1699905729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1174847321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 W HALLANDALE BEACH BLVD",
"address_2": "HALLANDALE BEACH , FL 33009",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330095444",
"telephone_number": "954-454-4280",
"fax_number": "954-922-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 S OCEAN DR",
"address_2": "SUITE E",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094945",
"telephone_number": "954-391-7864",
"fax_number": "954-391-8468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLDAN",
"first_name": "SANDRA",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-17",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA44797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.