Active NPI
Andrea Cristina De Oliveira, MA
- Massage Therapist
- Orlando, FL
National Provider Identifier
1255908703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA77305
- Practice address
- 6735 Conroy Rd Ste 202
Orlando, FL 32835-3571 - Phone
- (407) 844-5055
- NPI assigned
- Jun 4, 2021
- Sex
- Female
- 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 | MA77305 | FL | Primary |
Addresses
Primary practice location
6735 Conroy Rd Ste 202
Orlando, FL 32835-3571
Mailing address
6735 Conroy Rd Ste 202
Orlando, FL 32835-3571
Phone (407) 844-5055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77305 | Other | FL | STATE OF FLORIDA DEPARTMENT OF HEALTH - MASSAGE THERAPIST LICENSE |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA77305 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1255908703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6735 CONROY RD STE 202",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328353571",
"telephone_number": "407-844-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6735 CONROY RD STE 202",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328353571",
"telephone_number": "407-844-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE OLIVEIRA",
"first_name": "ANDREA",
"middle_name": "CRISTINA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-04",
"last_updated": "2021-06-04",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA77305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH - MASSAGE THERAPIST LICENSE",
"identifier": "77305",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.