Active NPI
Cheryl J. Debitetto, LCMT,MMP
- Massage Therapist
- Venice, FL
National Provider Identifier
1255507414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- #2753M
- Practice address
- 730 The Rialto
Venice, FL 34285-3524 - Phone
- (941) 525-7005
- NPI assigned
- May 7, 2008
- Last updated
- Dec 31, 2014
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | #2753M | NH | Primary |
Addresses
Primary practice location
730 The Rialto
Venice, FL 34285-3524
Mailing address
1058 Beckley Cir
Venice, FL 34292-3912
Phone (941) 525-7005
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 |
|---|---|---|---|
| #2753M | NH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1255507414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1058 BECKLEY CIR",
"city": "VENICE",
"state": "FL",
"postal_code": "342923912",
"telephone_number": "941-525-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 THE RIALTO",
"city": "VENICE",
"state": "FL",
"postal_code": "342853524",
"telephone_number": "941-525-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBITETTO",
"first_name": "CHERYL",
"middle_name": "J.",
"credential": "LCMT,MMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NH",
"license": "#2753M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.