Active NPI
Wendy L Berke, LMT
- Massage Therapist
- Juno Beach, FL
National Provider Identifier
1386850444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA9956
- Practice address
- 570 Ocean Drive #501
Holistic Massage & Wellness Clinic
Juno Beach, FL 33408 - Phone
- (954) 491-2225
- Fax
- (954) 491-6862
- NPI assigned
- May 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA9956 | FL | Primary |
Addresses
Primary practice location
570 Ocean Drive #501
Holistic Massage & Wellness Clinic
Juno Beach, FL 33408
Mailing address
PO Box 260684
Pembroke Pines, FL 33026
Phone (954) 382-5661
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA9956 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Massage & Wellness Clinics | Massage Therapist | Past | Accepting new patients |
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.
-
- Massage Therapist
- Fort Lauderdale, FL
- NPI 1578694915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386850444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260684",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33026",
"telephone_number": "954-382-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 OCEAN DRIVE #501",
"address_2": "HOLISTIC MASSAGE & WELLNESS CLINIC",
"city": "JUNO BEACH",
"state": "FL",
"postal_code": "33408",
"telephone_number": "954-491-2225",
"fax_number": "954-491-6862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKE",
"first_name": "WENDY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA9956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juno Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.