Individual provider Active NPI

Chalmer Kirkbride, LMT

  • Massage Therapist
  • North Bay Village, FL
National Provider Identifier
1487801452
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 26569 Issued in FL
Practice address
1455 N Treasure Dr
4P
North Bay Village, FL 33141-4140
Phone
(305) 866-3088
Fax
(305) 867-2053
NPI assigned
Aug 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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 MA 26569 FL Primary

Addresses

Primary practice location

1455 N Treasure Dr
4P
North Bay Village, FL 33141-4140

Mailing address

1455 N Treasure Dr
4P
North Bay Village, FL 33141-4140
Phone (305) 866-3088

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
MA 26569FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1487801452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 N TREASURE DR",
            "address_2": "4P",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414140",
            "telephone_number": "305-866-3088",
            "fax_number": "305-867-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 N TREASURE DR",
            "address_2": "4P",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414140",
            "telephone_number": "305-866-3088",
            "fax_number": "305-867-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKBRIDE",
        "first_name": "CHALMER",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 26569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bay Village, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.