Organization Active NPI

Pain Solutions Therapeutic & Sports Massage

  • Massage Therapist
  • Newberry, FL
National Provider Identifier
1265799605
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA46707 Issued in FL
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

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Patricia Faye Nyberg, LMTNPI 1912125931
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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1912125931OtherFLINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.