NPIMap

Organization Active NPI

Backstretch South Florida

Doing business as Elements Therapeutic Massage

  • Massage Therapist
  • Coral Springs, FL
National Provider Identifier
1437472925
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MM21953 Issued in FL
Legal business name
BACKSTRETCH SOUTH FLORIDA
Doing business as
Elements Therapeutic Massage
Practice address
6290 W Sample Rd
#102
Coral Springs, FL 33067-3101
Phone
(954) 757-2939
NPI assigned
Mar 11, 2010
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Louise Casper
Title
Owner
Phone
(561) 676-6545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MM21953 FL Primary

Addresses

Primary practice location

6290 W Sample Rd
#102
Coral Springs, FL 33067-3101

Mailing address

6290 W Sample Rd
#102
Coral Springs, FL 33067-3101
Phone (954) 757-2939

Other names 1

  • Elements Therapeutic Massage Doing business as

National Provider Directory

National Provider Directory

Locations

6290 W Sample Rd
Ste 102
Coral Springs, FL 33067
Phone (954) 757-2939

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1437472925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 W SAMPLE RD",
            "address_2": "#102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673101",
            "telephone_number": "954-757-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 W SAMPLE RD",
            "address_2": "#102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673101",
            "telephone_number": "954-757-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKSTRETCH SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "CASPER",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-676-6545"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM21953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elements Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 11, 2010; 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.