Individual provider Active NPI

Donald B Walsh, L.M.T.

  • Massage Therapist
  • New Smyrna, FL
National Provider Identifier
1447692272
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA73475 Issued in FL
Practice address
259 N Causeway
New Smyrna, FL 32169
Phone
(386) 423-2415
NPI assigned
Jul 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA73475 FL Primary

Addresses

Primary practice location

259 N Causeway
New Smyrna, FL 32169

Mailing address

259 N Causeway
New Smyrna, FL 32169-5239
Phone (386) 423-2415

Other practice location 1

130 Wallace Rd
New Smyrna, FL 32168-8069
Phone (386) 423-2415

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

LicenseStateTypeSpecialty
MA73475FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Chiropractic and Wellness Solutions LLC PastSince Aug 8, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1447692272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 N CAUSEWAY",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321695239",
            "telephone_number": "386-423-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 N CAUSEWAY",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "32169",
            "telephone_number": "386-423-2415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Wallace Rd",
            "address_purpose": "LOCATION",
            "city": "New Smyrna",
            "state": "FL",
            "postal_code": "321688069",
            "country_code": "US",
            "telephone_number": "386-423-2415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "DONALD",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA73475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.