Individual provider Active NPI

Michelle M Lindenau, LMT

  • Massage Therapist
  • Oakland Park, FL
National Provider Identifier
1336651827
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA81029 Issued in FL
Practice address
4861 N Dixie Hwy Ste 204
Oakland Park, FL 33334-3953
Phone
(754) 229-9235
NPI assigned
Oct 25, 2017
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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 MA81029 FL Primary

Addresses

Primary practice location

4861 N Dixie Hwy Ste 204
Oakland Park, FL 33334-3953

Mailing address

5041 NE 15TH Ave
Fort Lauderdale, FL 33334-5753
Phone (561) 843-6489

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
MA81029FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Kneads, LLC Massage Therapist CurrentSince Nov 21, 2021 Accepting new patients

Locations

200 N Andrews Ave
Ste 101
Fort Lauderdale, FL 33301
Phone (561) 717-9976

4861 N Dixie Hwy
Ste 204
Oakland Park, FL 33334
Phone (754) 229-9235

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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1336651827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 NE 15TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333345753",
            "telephone_number": "561-843-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 N DIXIE HWY STE 204",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343953",
            "telephone_number": "754-229-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDENAU",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA81029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.