Active NPI
Theodore Harry Andreadis Jr., L.M.T.
- Massage Therapist
- Gulf Breeze, FL
National Provider Identifier
1326362245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 52721
- Practice address
- 1198 Gulf Breeze Pkwy
Suite #8
Gulf Breeze, FL 32561-4877 - Phone
- (850) 934-4440
- Fax
- (850) 934-5550
- NPI assigned
- Mar 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 52721 | FL | Primary |
Addresses
Primary practice location
1198 Gulf Breeze Pkwy
Suite #8
Gulf Breeze, FL 32561-4877
Mailing address
1198 Gulf Breeze Pkwy
Suite #8
Gulf Breeze, FL 32561-4877
Phone (850) 934-4440
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 52721 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1326362245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1198 GULF BREEZE PKWY",
"address_2": "SUITE #8",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614877",
"telephone_number": "850-934-4440",
"fax_number": "850-934-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1198 GULF BREEZE PKWY",
"address_2": "SUITE #8",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614877",
"telephone_number": "850-934-4440",
"fax_number": "850-934-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREADIS",
"first_name": "THEODORE",
"middle_name": "HARRY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-22",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 52721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulf Breeze, FL
- Mackenzie Claire Aldridge, RD
- Alignment Chiropractic Clinic, Inc
- Ruth Wingate Allen, PA
- Haley Allio
- Frank Andrasik, PH.D.
- Andrews Foundation for Research & Education, LLC
- Andrews Institute ASC LLC
- Andrews Orthopaedic & Sports Medicine Center
- Andrews Research and Education Institute
- James R Andrews, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.