Therapeutic Massage of Southwest Florida, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA58593 Issued in FL

Legal business name

THERAPEUTIC MASSAGE OF SOUTHWEST FLORIDA, INC.

Practice address

6700 Winkler Rd
Suite 1
Fort Myers, FL 33919-7233

Phone

(239) 994-6558

Fax

(239) 481-0022

NPI assigned

Apr 28, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Gary R Glidden, L.M.T.NPI 1326364225

Title

President-Owner

Phone

(239) 994-6558

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary R Glidden

  • Massage Therapist
  • Fort Myers, FL
  • NPI 1326364225
  NPD (past) Authorized official
• Darlajean Marie Griffiths, L.M.T

  • Massage Therapist
  • Fort Myers, FL
  • NPI 1831349323
  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1346567450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 SW 12TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339145112",
            "telephone_number": "239-994-6558",
            "fax_number": "239-481-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WINKLER RD",
            "address_2": "SUITE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197233",
            "telephone_number": "239-994-6558",
            "fax_number": "239-481-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC MASSAGE OF SOUTHWEST FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "GLIDDEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "239-994-6558",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA58593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franzdy Thelemaque
• Afton D Theobald
• Michael R Theobald, M.D.
• Arielle Theodore, LMHC
• Evan T. Theoharis, M.D.
• Therapeutic Skin Care and Massage Center
• Therapy First LLC
• Therapy Treatment Team LLC
• Therapy Treatment Team, LLC
• Mark Thetford

• Massage Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.