Active NPI
Alice Belusko, L.M.T.
- Massage Therapist
- Plantation, FL
National Provider Identifier
1417287533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA0028780
- Practice address
- 101 SW 96TH Ter Apt 203
Plantation, FL 33324-2339 - Phone
- (954) 236-5123
- NPI assigned
- Jan 12, 2010
- Last updated
- Nov 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | MA0028780 | FL | Primary |
Addresses
Primary practice location
101 SW 96TH Ter Apt 203
Plantation, FL 33324-2339
Mailing address
101 SW 96TH Ter Apt 203
Plantation, FL 33324-2339
Phone (954) 236-5123
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 |
|---|---|---|---|
| MA0028780 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1417287533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SW 96TH TER APT 203",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242339",
"telephone_number": "954-236-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SW 96TH TER APT 203",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242339",
"telephone_number": "954-236-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELUSKO",
"first_name": "ALICE",
"name_prefix": "Miss",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-12",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA0028780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.