Individual provider Active NPI

Chantal K Marceau, LMT

  • Massage Therapist
  • Tampa, FL
National Provider Identifier
1386877330
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA56809 Issued in FL
Practice address
2529 W Busch Blvd
Ste 1000
Tampa, FL 33618-4545
Phone
(813) 933-3463
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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 MA56809 FL Primary

Addresses

Primary practice location

2529 W Busch Blvd
Ste 1000
Tampa, FL 33618-4545

Mailing address

1462 Villena Ave
Apt 203
Tampa, FL 33612-5038
Phone (813) 943-5180

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
MA56809FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chirotherapy Health Care, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1386877330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 VILLENA AVE",
            "address_2": "APT 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125038",
            "telephone_number": "813-943-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 W BUSCH BLVD",
            "address_2": "STE 1000",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184545",
            "telephone_number": "813-933-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCEAU",
        "first_name": "CHANTAL",
        "middle_name": "K",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA56809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.