Organization Active NPI

Massage Therapy LLC

  • Mechanotherapist
  • Boca Raton, FL
National Provider Identifier
1437549524
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA53020 Issued in FL
Legal business name
MASSAGE THERAPY LLC
Practice address
500 NE Spanish River Blvd Ste 35
Boca Raton, FL 33431-4517
Phone
(561) 789-8953
NPI assigned
Jan 28, 2015
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Keith G Garvin, LMTNPI 1477040525
Title
Owner
Phone
(561) 789-8953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA53020 FL Primary

Addresses

Primary practice location

500 NE Spanish River Blvd Ste 35
Boca Raton, FL 33431-4517

Mailing address

2621 Crabapple Cir
Boynton Beach, FL 33436-6640
Phone (561) 789-8953

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1437549524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 CRABAPPLE CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366640",
            "telephone_number": "561-789-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NE SPANISH RIVER BLVD STE 35",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314517",
            "telephone_number": "561-789-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-789-8953",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA53020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.