Individual provider Active NPI

Susan Baran Blumin, L.M.T.

  • Massage Therapist
  • North Miami, FL
National Provider Identifier
1316955685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA35238 Issued in FL
Practice address
1948 NE 123Rd St Ste 107
North Miami, FL 33181-2800
Phone
(305) 773-4994
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA35238 FL Primary

Addresses

Primary practice location

1948 NE 123Rd St Ste 107
North Miami, FL 33181-2800

Mailing address

1865 NE 117TH Rd
North Miami, FL 33181-3301
Phone (305) 773-4994

Other identifiers 1

IdentifierTypeStateIssuer
MA35238OtherFLLICENSE NUMBER

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
MA35238FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316955685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 NE 117TH RD",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813301",
            "telephone_number": "305-773-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 NE 123RD ST STE 107",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812800",
            "telephone_number": "305-773-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMIN",
        "first_name": "SUSAN",
        "middle_name": "BARAN",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA35238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MA35238",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.