Pete Pfannerstill, PH.D., LMT, CKTI

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA24089 Issued in FL

Practice address

1936 W Dr Martin Luther King Jr Blvd
Suite 103
Tampa, FL 33607-6500

Phone

(813) 875-5872

Fax

(813) 870-2324

NPI assigned

Jul 26, 2006

Last updated

Feb 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518825600000",
    "number": "1457374894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 W DR MARTIN LUTHER KING JR BLVD STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076530",
            "telephone_number": "813-482-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076500",
            "telephone_number": "813-875-5872",
            "fax_number": "813-870-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFANNERSTILL",
        "first_name": "PETE",
        "credential": "PH.D., LMT, CKTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA24089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.