Individual provider Active NPI

Angela J Hegwood, LMT

  • Massage Therapist
  • Pensacola, FL
National Provider Identifier
1477205243
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA91582 Issued in FL
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

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
MA91582FLMDMassage 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.

Verify at the official NPI Registry.