Kasey Moore, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA73189 Issued in FL

Practice address

738 SW Main Blvd
Lake City, FL 32025-5768

Phone

(386) 400-3140

Fax

(386) 406-8013

NPI assigned

Sep 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moore Massage LLC

  • Massage Therapist
  • Lake City, FL
  • NPI 1558067579
  NPD Authorized official

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1265833149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 SE WALDRON TER",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255529",
            "telephone_number": "386-400-3140",
            "fax_number": "386-406-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255768",
            "telephone_number": "386-400-3140",
            "fax_number": "386-406-8013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 SE Baya Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320258007",
            "country_code": "US",
            "telephone_number": "386-400-3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KASEY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA73189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1558067579",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vernon P Montoya, M.D.
• Felicia Shundriell Moody, PHARM.D
• Jennifer P Moon
• Moore Massage LLC
• Dustin C Moore, PTA
• Theresa Marie Moore
• Brittney Moreau, B.S.W.
• Amanda Kay Morgan, APRN
• Susan F Morgan, LCSW
• Cynthia Moritz, RN

• Massage Therapist in Lake City, FL
• Providers in Lake City, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.