Mary Ravndal, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 48555 Issued in FL

Practice address

1220 Edgewater Dr Ste 7
Orlando, FL 32804-6366

Phone

(407) 704-8867

NPI assigned

Jan 14, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Balance Massage and Structural Bodywork

  • Massage Therapist
  • Orlando, FL
  • NPI 1295059467
  NPD (past)
• Balance Orlando Chiropractic Corp

  • Chiropractor
  • Orlando, FL
  • NPI 1912651530
  NPD (past)

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1275864233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W HARVARD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 EDGEWATER DR STE 7",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046366",
            "telephone_number": "407-704-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVNDAL",
        "first_name": "MARY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 48555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johne D Ravenell
• Monique Ravenell
• Terry Marilyn Ravenna Ruiz, SA-C
• Carissa M Raver, APRN, FNP-BC
• Darcy Vetro Ravndal, MSN, MPH, ARNP
• Sreenivasa Rao Ravuri, M.D.
• Shirin Esmail Rawji, DDS
• David James Rawlings, MD
• Pameil Shaw Rawlings, PHARM.D.
• Tahseen Akram Rawls, R.D

• Massage Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Massage Therapist in Florida

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