Epic Wellness Florida LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

EPIC WELLNESS FLORIDA LLC

Practice address

188 W Harborview Rd
Santa Rosa Beach, FL 32459-3056

Phone

(850) 901-0554

NPI assigned

Nov 23, 2021

Last updated

Nov 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Callie Knight

Title

Office Manager

Phone

(850) 901-0554

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1457018582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 W HARBORVIEW RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593056",
            "telephone_number": "850-901-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W HARBORVIEW RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593056",
            "telephone_number": "850-901-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC WELLNESS FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "CALLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-901-0554"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.