Active NPI
Angela J Hegwood, LMT
- Massage Therapist
- Pensacola, FL
National Provider Identifier
1477205243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA91582
- Practice address
- 3298 Summit Blvd Ste 4
Pensacola, FL 32503-4350 - Phone
- (850) 876-2151
- NPI assigned
- Jan 24, 2022
- 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 | MA91582 | FL | Primary |
Addresses
Primary practice location
3298 Summit Blvd Ste 4
Pensacola, FL 32503-4350
Mailing address
3490 Rothschild Dr
Pensacola, FL 32503-5125
Phone (850) 876-2151
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Massagebook.com | Direct |
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 |
|---|---|---|---|
| MA91582 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1477205243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3490 ROTHSCHILD DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325035125",
"telephone_number": "850-876-2151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3298 SUMMIT BLVD STE 4",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325034350",
"telephone_number": "850-876-2151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGWOOD",
"first_name": "ANGELA",
"middle_name": "J",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA91582",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Massagebook.com",
"affiliation": "N",
"endpointDescription": "Healthcare forms sent via email through secure site",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "digital health inofmation",
"address_1": "3298 Summit Blvd Ste 4",
"city": "Pensacola",
"state": "FL",
"country_code": "US",
"postal_code": "325034350",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.