Organization Active NPI

Massage and Fitness Professionals

  • Massage Therapist
  • Stuart, FL
National Provider Identifier
1275859332
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA8508 Issued in FL
Legal business name
MASSAGE AND FITNESS PROFESSIONALS
Practice address
2215 S Kanner Hwy
Stuart, FL 34994-4619
Phone
(772) 288-0073
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Mrs. Deborah Ann Roberts, LMT
Title
Owner
Phone
(772) 288-0073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA8508 FL Primary

Addresses

Primary practice location

2215 S Kanner Hwy
Stuart, FL 34994-4619

Mailing address

2215 S Kanner Hwy
Stuart, FL 34994-4619
Phone (772) 288-0073

National Provider Directory

National Provider Directory

Locations

2215 S Kanner Hwy
Stuart, FL 34994
Phone (772) 288-0073

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1275859332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944619",
            "telephone_number": "772-288-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944619",
            "telephone_number": "772-288-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE AND FITNESS PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-288-0073",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA8508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.