Mary Victoria Fadely, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA76876 Issued in FL

Practice address

215 SE 8TH Ave Apt 2660
Fort Lauderdale, FL 33301-4026

Phone

(813) 326-4242

NPI assigned

Oct 15, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1225904238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SE 8TH AVE APT 2660",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333014026",
            "telephone_number": "813-326-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SE 8TH AVE APT 2660",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333014026",
            "telephone_number": "813-326-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADELY",
        "first_name": "MARY",
        "middle_name": "VICTORIA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA76876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A Fabian
• Ayisha Fable, APRN
• Mariana Fabregas, PHARMD
• Tamara Fabregas, RPH
• Adam Fackler, DC
• Avichai Fagan
• David Michael Fagan, O.D.
• Dana A Fahey, DMD
• Trudi Fahey, M.D.
• Dale E Fahie, D.O.F.A.C.O.F.P.

• Massage Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.