Active NPI
Neal Galen Henegar, L.M.T.
- Massage Therapist
- Ormond Beach, FL
National Provider Identifier
1437390630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 51680
- Practice address
- 195 Coquina Court
Ormond Beach, FL 32176 - Phone
- (386) 334-3688
- NPI assigned
- Mar 18, 2009
- Last updated
- Mar 18, 2009
- Sex
- Male
- 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 | 51680 | FL | Primary |
Addresses
Primary practice location
195 Coquina Court
Ormond Beach, FL 32176
Mailing address
155 Fairway Dr.
Ormond Beach, FL 32176
Phone (386) 334-3688
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 |
|---|---|---|---|
| 51680 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1437390630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 FAIRWAY DR.",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "32176",
"telephone_number": "386-334-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 COQUINA COURT",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "32176",
"telephone_number": "386-334-3688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENEGAR",
"first_name": "NEAL",
"middle_name": "GALEN",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-18",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "51680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.