Atlas Sports and Medical Massage Limited Liability Company

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ATLAS SPORTS AND MEDICAL MASSAGE LIMITED LIABILITY COMPANY

Practice address

609 S Armenia Ave
Tampa, FL 33609-4123

Phone

(813) 603-7900

NPI assigned

Jun 1, 2023

Last updated

Jun 1, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ryan Daniel Mortimer, LMTNPI 1588350714

Title

Owner

Phone

(863) 712-7549

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Daniel Mortimer, LMT

  • Massage Therapist
  • Tampa, FL
  • NPI 1588350714
  NPD Authorized official

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1427741792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S JACKSON AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338304820",
            "telephone_number": "863-712-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094123",
            "telephone_number": "813-603-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS SPORTS AND MEDICAL MASSAGE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "MORTIMER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-712-7549",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.