Individual provider Active NPI

Elizabeth Rosalie Adams, LMT

  • Massage Therapist
  • Kissimmee, FL
National Provider Identifier
1457995383
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA91952 Issued in FL
Practice address
100 N John Young Pkwy
Kissimmee, FL 34741-5409
Phone
(407) 574-0792
Fax
(407) 855-0409
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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 MA91952 FL Primary

Addresses

Primary practice location

100 N John Young Pkwy
Kissimmee, FL 34741-5409

Mailing address

12719 Rolling Broak CT
Orlando, FL 32837-7468
Phone (407) 574-0792

Other practice location 1

405 W Vine St
Kissimmee, FL 34741-4154
Phone (407) 574-0792

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address liz@massagesbyliz.com

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osceola Therapeutic Wellness Center Massage Therapist Current 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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1457995383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12719 ROLLING BROAK CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377468",
            "telephone_number": "407-574-0792",
            "fax_number": "407-855-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415409",
            "telephone_number": "407-574-0792",
            "fax_number": "407-855-0409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W Vine St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414154",
            "country_code": "US",
            "telephone_number": "407-574-0792",
            "fax_number": "407-855-0409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "ELIZABETH",
        "middle_name": "ROSALIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA91952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "liz@massagesbyliz.com",
            "affiliation": "N",
            "address_1": "100 N John Young Pkwy",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347415409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.