Active NPI
Ross C. Hoffman, L.M.T.
- Massage Therapist
- Port Saint Lucie, FL
National Provider Identifier
1245375104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA0027888
- Practice address
- 139 SW Port St Lucie Blvd
Suite B
Port Saint Lucie, FL 34984-5031 - Phone
- (772) 340-0022
- Fax
- (888) 481-6640
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- 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 | MA0027888 | FL | Primary |
Addresses
Primary practice location
139 SW Port St Lucie Blvd
Suite B
Port Saint Lucie, FL 34984-5031
Mailing address
3125 SE Card Ter
Port Saint Lucie, FL 34984-6327
Phone (772) 359-3608
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C8847 | Other | FL | BLUE CROSS BLUE SHIELD |
| MA27888 | Other | FL | MASSAGE LICENCE # |
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 |
|---|---|---|---|
| MA0027888 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1245375104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 SE CARD TER",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349846327",
"telephone_number": "772-359-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 SW PORT ST LUCIE BLVD",
"address_2": "SUITE B",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349845031",
"telephone_number": "772-340-0022",
"fax_number": "888-481-6640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "ROSS",
"middle_name": "C.",
"name_prefix": "Mr.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA0027888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "C8847",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE LICENCE #",
"identifier": "MA27888",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.