Active NPI
Cathleen Bellerose
- Massage Therapist
- Daytona Beach, FL
National Provider Identifier
1427662816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA71536
- Practice address
- 340 S Beach St Ste 100
Daytona Beach, FL 32114-5079 - Phone
- (386) 898-4967
- NPI assigned
- Sep 2, 2020
- Last updated
- Sep 2, 2020
- 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 | MA71536 | FL | Primary |
Addresses
Primary practice location
340 S Beach St Ste 100
Daytona Beach, FL 32114-5079
Mailing address
340 S Beach St Ste 100
Daytona Beach, FL 32114-5079
Phone (386) 898-4967
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 |
|---|---|---|---|
| MA71536 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pink Lotus Healing, Inc | Massage Therapist | Current | 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.
-
dba Pink Lotus Therapeutics
- Massage Therapist
- Daytona Beach, FL
- NPI 1093450298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1427662816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 S BEACH ST STE 100",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321145079",
"telephone_number": "386-898-4967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 S BEACH ST STE 100",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321145079",
"telephone_number": "386-898-4967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLEROSE",
"first_name": "CATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA71536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.