Carrollwood Massage Therapy

Primary specialty

SpecialistTaxonomy code 174400000X

License

MM20152 Issued in FL

Legal business name

CARROLLWOOD MASSAGE THERAPY

Practice address

14465 N Dale Mabry Hwy
Tampa, FL 33618-2000

Phone

(813) 961-8177

Fax

(813) 961-3931

NPI assigned

Jan 26, 2008

Organization subpart

No

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

Authorized official

Name

Deborah Davis-Hilderley

Title

Billing Representative

Phone

(352) 232-0470

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jamie Heggedal, LMT

  • Specialist
  • Tampa, FL
  • NPI 1659558229
  NPD (past)

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1386821957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14465 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182000",
            "telephone_number": "813-961-8177",
            "fax_number": "813-961-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14465 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182000",
            "telephone_number": "813-961-8177",
            "fax_number": "813-961-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLWOOD MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-26",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS-HILDERLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "352-232-0470"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "MM20152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrollwood Assisted Living, Operations, LTD.
• Carrollwood Diagnostic Imaging
• Carrollwood Emergency Physicians PA
• Carrollwood Family Chiropractic LLC
• Carrollwood Family Medical and Rehabilitation Center, Inc.
• Carrollwood Medical Group, LLC.
• Carrollwood Operations, LLC
• Carrollwood Rehabilitation Center LLC
• Carrollwood Speech and Swallowing Therapy, PLLC
• Carrollwood Surgical Associates

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.