Individual provider Active NPI

Paul Edward Foley, LMT

  • Massage Therapist
  • Miami, FL
National Provider Identifier
1225280167
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA3037 Issued in FL
Practice address
8100 SW 81 Drive Suite 241
Kings Creek Therapeutic Massage
Miami, FL 33143
Phone
(305) 271-7781
NPI assigned
Oct 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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 MA3037 FL Primary

Addresses

Primary practice location

8100 SW 81 Drive Suite 241
Kings Creek Therapeutic Massage
Miami, FL 33143

Mailing address

8100 SW 81 Drive Suite 241
Kings Creek Therapeutic Massage Inc.
Miami, FL 33143
Phone (305) 271-7781

Other identifiers 1

IdentifierTypeStateIssuer
C5731OtherFLBC/BS

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
MA3037FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1225280167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 SW 81 DRIVE SUITE 241",
            "address_2": "KINGS CREEK THERAPEUTIC MASSAGE INC.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-271-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 SW 81 DRIVE SUITE 241",
            "address_2": "KINGS CREEK THERAPEUTIC MASSAGE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-271-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA3037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "C5731",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.