Active NPI
Clarissa Pierce, LMT, RT(T)
- Massage Therapist
- Coral Springs, FL
National Provider Identifier
1427616150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA-57930
- Practice address
- 10139 NW 31St St Ste 101
Coral Springs, FL 33065-3908 - Phone
- (954) 755-1292
- NPI assigned
- May 29, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA-57930 | FL | |
| Therapeutic Radiology Physician | 2085R0203X | CRT-91914 | FL | |
| Massage Therapist | 225700000X | MA-57930 | FL | Primary |
Addresses
Primary practice location
10139 NW 31St St Ste 101
Coral Springs, FL 33065-3908
Mailing address
4688 Coral Ridge Dr
Coral Springs, FL 33076-2252
Phone (754) 214-0802
Other practice location 1
13224 W Broward Blvd
Plantation, FL 33325-2228
Phone (954) 400-5504
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 |
|---|---|---|---|
| CRT-91914 | FL | MD | Therapeutic Radiology Physician |
| MA-57930 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1427616150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4688 CORAL RIDGE DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330762252",
"telephone_number": "754-214-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10139 NW 31ST ST STE 101",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330653908",
"telephone_number": "954-755-1292"
}
],
"practiceLocations": [
{
"address_1": "13224 W Broward Blvd",
"address_purpose": "LOCATION",
"city": "Plantation",
"state": "FL",
"postal_code": "333252228",
"country_code": "US",
"telephone_number": "954-400-5504",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIERCE",
"first_name": "CLARISSA",
"credential": "LMT, RT(T)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "MA-57930",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "FL",
"license": "CRT-91914",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA-57930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.