Individual provider Active NPI

Manuel Carvajal

  • Contractor
  • Chattanooga, TN
National Provider Identifier
1336015437
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
2115 Miramar Cir
Chattanooga, TN 37421-4995
Phone
(850) 270-0620
NPI assigned
Oct 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 144.001380 IL
Contractor 171W00000X FL Primary

Addresses

Primary practice location

2115 Miramar Cir
Chattanooga, TN 37421-4995

Mailing address

1540 International Pkwy Ste 2000
Lake Mary, FL 32746-5096

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
144.001380ILMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soft Cloud Music Therapy, LLC Music Therapist CurrentSince Oct 21, 2025 Accepting new patients
Soft Cloud Music Therapy, LLC CurrentSince Dec 14, 2025 Accepting new patients

Locations

1540 International Pkwy
Ste 2000
Lake Mary, FL 32746
Phone (407) 287-9179

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1336015437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 INTERNATIONAL PKWY STE 2000",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 MIRAMAR CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214995",
            "telephone_number": "850-270-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVAJAL",
        "first_name": "MANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "IL",
            "license": "144.001380",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.