Individual provider Active NPI

Myra Afua Adu-Sarkodie, LMT

  • Massage Therapist
  • Cape Coral, FL
National Provider Identifier
1376154773
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA89328 Issued in FL
Practice address
2804 Del Prado Blvd S Ste 104
Cape Coral, FL 33904-7227
Phone
(941) 275-9227
NPI assigned
Aug 11, 2020
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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 MA89328 FL Primary

Addresses

Primary practice location

2804 Del Prado Blvd S Ste 104
Cape Coral, FL 33904-7227

Mailing address

2804 Del Prado Blvd S Ste 104
Cape Coral, FL 33904-7227
Phone (941) 275-9227

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
MA89328FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1376154773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 DEL PRADO BLVD S STE 104",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047227",
            "telephone_number": "941-275-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 DEL PRADO BLVD S STE 104",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047227",
            "telephone_number": "941-275-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADU-SARKODIE",
        "first_name": "MYRA",
        "middle_name": "AFUA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA89328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.