Individual provider Active NPI

Noel B Padilla, NOEL PADILLA

  • Massage Therapist
  • Boynton Beach, FL
National Provider Identifier
1477792786
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA48147 Issued in FL
Practice address
10130 Ashwood PL
Boynton Beach, FL 33437-1357
Phone
(561) 736-0948
Fax
(561) 736-0948
NPI assigned
Feb 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2010

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 MA48147 FL Primary

Addresses

Primary practice location

10130 Ashwood PL
Boynton Beach, FL 33437-1357

Mailing address

10130 Ashwood PL
Boynton Beach, FL 33437-1357
Phone (561) 736-0948

Other names 1

  • Noel Padilla Professional name

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
MA48147FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1477792786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 ASHWOOD PL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371357",
            "telephone_number": "561-736-0948",
            "fax_number": "561-736-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 ASHWOOD PL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371357",
            "telephone_number": "561-736-0948",
            "fax_number": "561-736-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "NOEL",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "NOEL PADILLA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA48147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOEL",
            "last_name": "PADILLA",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.