Individual provider Active NPI

Henry J. Tobelmann III, BS, LMT

  • Massage Therapist
  • Melbourne, FL
National Provider Identifier
1437169265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA9873 Issued in FL
Practice address
1751 Sarno Rd Ste 3
Melbourne, FL 32935-4909
Phone
(321) 253-8088
Fax
(321) 253-0212
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA9873 FL Primary

Addresses

Primary practice location

1751 Sarno Rd Ste 3
Melbourne, FL 32935-4909

Mailing address

1751 Sarno Rd
#3
Melbourne, FL 32935
Phone (321) 253-8088

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
MA9873FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437169265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 SARNO RD",
            "address_2": "#3",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-253-8088",
            "fax_number": "321-253-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 SARNO RD STE 3",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354909",
            "telephone_number": "321-253-8088",
            "fax_number": "321-253-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBELMANN",
        "first_name": "HENRY",
        "middle_name": "J.",
        "name_suffix": "III",
        "credential": "BS, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA9873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.