Individual provider Active NPI

Suzan Herzig

  • Massage Therapist
  • Fort Walton Beach, FL
National Provider Identifier
1386539658
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA98676 Issued in FL
Practice address
348 Miracle Strip Pkwy SW Ste 11
Fort Walton Beach, FL 32548-5257
Phone
(850) 716-9959
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 MA98676 FL Primary

Addresses

Primary practice location

348 Miracle Strip Pkwy SW Ste 11
Fort Walton Beach, FL 32548-5257

Mailing address

128 Clements St NE
Fort Walton Beach, FL 32548-6427
Phone (619) 817-6559

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
MA98676FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Thai Spa LLC Massage Therapist CurrentSince Jun 15, 2025 Accepting new patients

Locations

348 Miracle Strip Pkwy SW
Ste 11
Fort Walton Beach, FL 32548
Phone (850) 716-9959

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1386539658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CLEMENTS ST NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486427",
            "telephone_number": "619-817-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW STE 11",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485257",
            "telephone_number": "850-716-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZIG",
        "first_name": "SUZAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA98676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.