Individual provider Active NPI

Ross C. Hoffman, L.M.T.

  • Massage Therapist
  • Port Saint Lucie, FL
National Provider Identifier
1245375104
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA0027888 Issued in FL
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

Updated by the provider on Jan 29, 2013

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 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

IdentifierTypeStateIssuer
C8847OtherFLBLUE CROSS BLUE SHIELD
MA27888OtherFLMASSAGE 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

LicenseStateTypeSpecialty
MA0027888FLMDMassage 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.

Verify at the official NPI Registry.