Individual provider Active NPI

Masae Muramatsu, LMT

  • Specialist
  • Gainesville, FL
National Provider Identifier
1295902005
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA54044 Issued in FL
Practice address
1002 NW 23Rd Ave
Gainesville, FL 32609-5403
Phone
(516) 301-7743
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 27021753 NY
Specialist 174400000X MA54044 FL Primary

Addresses

Primary practice location

1002 NW 23Rd Ave
Gainesville, FL 32609-5403

Mailing address

15389 W Highway 318
Williston, FL 32696-4312
Phone (516) 301-7743

Other names 1

  • Mrs. Masae Muramatsu Pancake Former name

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

LicenseStateTypeSpecialty
MA54044FLMDSpecialist
27021753NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1295902005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15389 W HIGHWAY 318",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326964312",
            "telephone_number": "516-301-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 NW 23RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326095403",
            "telephone_number": "516-301-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURAMATSU",
        "first_name": "MASAE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "27021753",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA54044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MASAE",
            "last_name": "PANCAKE",
            "middle_name": "MURAMATSU",
            "prefix": "MRS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.