Active NPI
Susan Elizabeth House, L.M.T.
- Massage Therapist
- Cocoa Beach, FL
National Provider Identifier
1194989954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 39407
- Practice address
- 173 N Orlando Ave
Cocoa Beach, FL 32931-2914 - Phone
- (321) 783-2029
- NPI assigned
- Jul 10, 2008
- 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 | MA 39407 | FL | Primary |
Addresses
Primary practice location
173 N Orlando Ave
Cocoa Beach, FL 32931-2914
Mailing address
173 N Orlando Ave
Cocoa Beach, FL 32931-2914
Phone (321) 543-8866
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 |
|---|---|---|---|
| MA 39407 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1194989954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 N ORLANDO AVE",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329312914",
"telephone_number": "321-543-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 N ORLANDO AVE",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329312914",
"telephone_number": "321-783-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSE",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 39407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cocoa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.