Active NPI
Pain Solutions Therapeutic & Sports Massage
- Massage Therapist
- Newberry, FL
National Provider Identifier
1265799605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA46707
- Legal business name
- PAIN SOLUTIONS THERAPEUTIC & SPORTS MASSAGE
- Practice address
- 25355 W Newberry Rd
Suite 2
Newberry, FL 32669-4253 - Phone
- (352) 226-2976
- NPI assigned
- Apr 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Faye Nyberg, LMT
- Title
- Sole Proprieter/ Massage Therapist
- Phone
- (352) 226-2976
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA46707 | FL | Primary |
Addresses
Primary practice location
25355 W Newberry Rd
Suite 2
Newberry, FL 32669-4253
Mailing address
PO Box 983
Newberry, FL 32669-0983
Phone (352) 226-2976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912125931 | Other | FL | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
25355 W Newberry Rd
Ste 2
Newberry, FL 32669
Phone (352) 226-2976
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Newberry, FL
- NPI 1912125931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335139200000",
"number": "1265799605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 983",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326690983",
"telephone_number": "352-226-2976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25355 W NEWBERRY RD",
"address_2": "SUITE 2",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326694253",
"telephone_number": "352-226-2976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN SOLUTIONS THERAPEUTIC & SPORTS MASSAGE",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-23",
"last_updated": "2012-04-23",
"status": "A",
"authorized_official_last_name": "NYBERG",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "FAYE",
"authorized_official_title_or_position": "SOLE PROPRIETER/ MASSAGE THERAPIST",
"authorized_official_telephone_number": "352-226-2976",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA46707",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1912125931",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.