Organization Active NPI

Healing Hands of Brevard Co Inc

  • Massage Therapist
  • Cocoa Beach, FL
National Provider Identifier
1215052535
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA46090 Issued in FL
Legal business name
HEALING HANDS OF BREVARD CO INC
Practice address
200 S Banana River Blvd
Unit 2204
Cocoa Beach, FL 32931-5084
Phone
(321) 474-1654
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kimberly Anne Pearce, MASSAGE THERAPIST
Title
Owner
Phone
(321) 474-1654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA46090 FL Primary

Addresses

Primary practice location

200 S Banana River Blvd
Unit 2204
Cocoa Beach, FL 32931-5084

Mailing address

PO Box 13
Titusville, FL 32781-0013
Phone (321) 474-1654

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215052535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327810013",
            "telephone_number": "321-474-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BANANA RIVER BLVD",
            "address_2": "UNIT 2204",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315084",
            "telephone_number": "321-474-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS OF BREVARD CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-474-1654",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA46090",
            "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 Aug 22, 2020; 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.