Individual provider Active NPI

Zenebework Seyoum

  • Massage Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1215157052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA40206 Issued in FL
Practice address
Holistic Massage&Wellness Clinics
903 E. Cypress Creek Rd
Fortlauderdale, FL 33334
Phone
(954) 491-2225
Fax
(954) 491-6862
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA40206 FL Primary

Addresses

Primary practice location

Holistic Massage&Wellness Clinics
903 E. Cypress Creek Rd
Fortlauderdale, FL 33334

Mailing address

Holistic Massage &Welleness Clinic
903 E. Cypress Creek Rd
Fort.Lauderdale, FL 33334
Phone (954) 491-2225

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

LicenseStateTypeSpecialty
MA40206FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Massage & Wellness Clinics Massage Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215157052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HOLISTIC MASSAGE &WELLENESS CLINIC",
            "address_2": "903 E. CYPRESS CREEK RD",
            "city": "FORT.LAUDERDALE",
            "state": "FL",
            "postal_code": "33334",
            "telephone_number": "954-491-2225",
            "fax_number": "954-491-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOLISTIC MASSAGE&WELLNESS CLINICS",
            "address_2": "903 E. CYPRESS CREEK RD",
            "city": "FORTLAUDERDALE",
            "state": "FL",
            "postal_code": "33334",
            "telephone_number": "954-491-2225",
            "fax_number": "954-491-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYOUM",
        "first_name": "ZENEBEWORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA40206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • 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.