20 West

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MM21062 Issued in FL

Legal business name

20 WEST

Practice address

20 W Wentworth St
Englewood, FL 34223-2949

Phone

(941) 475-0020

Fax

(941) 475-9131

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Claudia Annette Davenport

Title

Owner

Phone

(941) 475-0020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1194989186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W WENTWORTH ST",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342232949",
            "telephone_number": "941-475-0020",
            "fax_number": "941-475-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W WENTWORTH ST",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342232949",
            "telephone_number": "941-475-0020",
            "fax_number": "941-475-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20 WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-475-0020"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM21062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.