Active NPI
Therapeutic Massage, Inc.
- Specialist
- Stuart, FL
National Provider Identifier
1447446745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA0004514
- Legal business name
- THERAPEUTIC MASSAGE, INC.
- Practice address
- 413 California Ave
Stuart, FL 34994-2917 - Phone
- (772) 288-3095
- NPI assigned
- Sep 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Michelle L McCrain, LMT
- Title
- President
- Phone
- (772) 288-3095
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA0004514 | FL | Primary |
Addresses
Primary practice location
413 California Ave
Stuart, FL 34994-2917
Mailing address
413 California Ave
Stuart, FL 34994-2917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C5498 | Other | FL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Stuart, FL
- NPI 1255527552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190246400000",
"number": "1447446745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 CALIFORNIA AVE",
"city": "STUART",
"state": "FL",
"postal_code": "349942917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 CALIFORNIA AVE",
"city": "STUART",
"state": "FL",
"postal_code": "349942917",
"telephone_number": "772-288-3095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC MASSAGE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A",
"authorized_official_last_name": "MCCRAIN",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "772-288-3095",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "MA0004514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "C5498",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.