Active NPI
Andrea Machado, L.M.T., M.M.R
- Massage Therapist
- W Melbourne, FL
National Provider Identifier
1447570635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 36407
- Practice address
- 2815 W New Haven Ave Ste 302
W Melbourne, FL 32904-3655 - Phone
- (321) 725-0073
- NPI assigned
- Jun 10, 2010
- Last updated
- Jun 10, 2010
- Sex
- Female
- 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 | 36407 | FL | Primary |
Addresses
Primary practice location
2815 W New Haven Ave Ste 302
W Melbourne, FL 32904-3655
Mailing address
951 Bellevue St NE
Palm Bay, FL 32907-5533
Phone (321) 795-0519
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 |
|---|---|---|---|
| 36407 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1447570635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 BELLEVUE ST NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329075533",
"telephone_number": "321-795-0519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 W NEW HAVEN AVE STE 302",
"city": "W MELBOURNE",
"state": "FL",
"postal_code": "329043655",
"telephone_number": "321-725-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHADO",
"first_name": "ANDREA",
"credential": "L.M.T., M.M.R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "36407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in W Melbourne, FL
- Health Management LLC (Brevard Health & Rehab)
- Denise Clark Huber, D.C.
- James E Greathouse, Jr. Dcpa
- James E. Greathouse, Jr., Dcpa (Dr. James E. Greathouse, Jr.)
- Maria Melissa King, ARNP
- Joseph Patrick Martin III
- Alvin W McIntosh, LMT
- Melbourne Urgent Care, Inc
- Deborah Lynn Nickens, M.S, LMHC
- Norpro Prosthetics and Orthotics, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.