NPIMap

Organization Active NPI

Hyde Park Massage

  • Pain Clinic/Center
  • Tampa, FL
National Provider Identifier
1265734156
Registry record updated Nov 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
MA44083 Issued in FL
Legal business name
HYDE PARK MASSAGE
Practice address
412 S Howard Ave
Tampa, FL 33606-1770
Phone
(813) 244-4760
NPI assigned
Nov 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2010

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

Authorized official

Name
Mr. Judson Randall, LMTNPI 1235309683
Title
Sole Proprietor
Phone
(813) 244-4760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X MA44083 FL Primary

Addresses

Primary practice location

412 S Howard Ave
Tampa, FL 33606-1770

Mailing address

412 S Howard Ave
Tampa, FL 33606-1770
Phone (813) 244-4760

National Provider Directory

National Provider Directory

Locations

412 S Howard Ave
Tampa, FL 33606
Phone (813) 244-4760

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290729600000",
    "number": "1265734156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061770",
            "telephone_number": "813-244-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061770",
            "telephone_number": "813-244-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-26",
        "last_updated": "2010-11-26",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "JUDSON",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "813-244-4760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "MA44083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2010; 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.