Active NPI
Mandi A Rhue, MASSAGE THERAPIST
- Mechanotherapist
- Gulf Breeze, FL
National Provider Identifier
1245465780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA56179
- Practice address
- 5561 Fawn Ridge Dr
Gulf Breeze, FL 32563-7623 - Phone
- (850) 686-4530
- NPI assigned
- May 28, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA56179 | FL | Primary |
Addresses
Primary practice location
5561 Fawn Ridge Dr
Gulf Breeze, FL 32563-7623
Mailing address
5561 Fawn Ridge Dr
Gulf Breeze, FL 32563-7623
Phone (850) 686-4530
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 |
|---|---|---|---|
| MA56179 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1245465780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5561 FAWN RIDGE DR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325637623",
"telephone_number": "850-686-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5561 FAWN RIDGE DR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325637623",
"telephone_number": "850-686-4530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHUE",
"first_name": "MANDI",
"middle_name": "A",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "MA56179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.