Active NPI
Sandra Brooks, MPH, LMT
- Massage Therapist
- Lutz, FL
National Provider Identifier
1285961037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA-5943
- Practice address
- 19923 Jodi Dr
Lutz, FL 33558-5005 - Phone
- (813) 774-4475
- Fax
- (813) 435-2001
- NPI assigned
- Nov 13, 2009
- Last updated
- Nov 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA-5943 | FL | Primary |
Addresses
Primary practice location
19923 Jodi Dr
Lutz, FL 33558-5005
Mailing address
19923 Jodi Dr
Lutz, FL 33558-5005
Phone (813) 774-4475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA-5943 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Le Camelot LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1285961037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19923 JODI DR",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585005",
"telephone_number": "813-774-4475",
"fax_number": "813-435-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19923 JODI DR",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585005",
"telephone_number": "813-774-4475",
"fax_number": "813-435-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "SANDRA",
"name_prefix": "Ms.",
"credential": "MPH, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-13",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA-5943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
- Taylor Briske
- Britten Dental Associates
- Nicholas Leonard Britten, D.M.D.
- Lauren Elizabeth Broere
- Deborah Brooks
- Maria Victoria Broome-Levinus, M.S. IN EARLY CHILDH
- Michaela Brotherton
- Brown Plastic & Reconstructive Surgery (Tampa Aesthetic & Plastic Surger)
- Hannah Taylor Brown, PA
- James Cornelius Brown II, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.