Individual provider Active NPI

Miralva Swaby

  • Massage Therapist
  • West Park, FL
National Provider Identifier
1245931997
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
95752 Issued in FL
Practice address
4625 SW 31St Dr
West Park, FL 33023-5566
Phone
(510) 833-4272
NPI assigned
Mar 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 02691401 NY
Massage Therapist 225700000X 95752 FL Primary

Addresses

Primary practice location

4625 SW 31St Dr
West Park, FL 33023-5566

Mailing address

4625 SW 31St Dr
West Park, FL 33023-5566
Phone (510) 833-4272

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
95752FLMDMassage Therapist
02691401NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1245931997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 SW 31ST DR",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330235566",
            "telephone_number": "510-833-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 SW 31ST DR",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330235566",
            "telephone_number": "510-833-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWABY",
        "first_name": "MIRALVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "02691401",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "95752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.