Daniel S Putnam, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA0022782 Issued in FL

Practice address

1437 Flagler Ave
Jacksonville, FL 32207-8516

Phone

(904) 982-4336

Fax

(800) 350-7636

NPI assigned

Jun 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487857264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380066",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322050566",
            "telephone_number": "904-982-4336",
            "fax_number": "800-350-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 FLAGLER AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078516",
            "telephone_number": "904-982-4336",
            "fax_number": "800-350-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "DANIEL",
        "middle_name": "S",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA0022782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL PROVIDER #",
            "identifier": "C7661",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE #",
            "identifier": "MA0022782",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omobusayo Funke Purser
• Victoria C Pursley, APRN
• Amy Middleton Purvis
• Jerome Puryear Jr., MD
• Lindsay Michelle Putkowski, CRNA
• Heather Putnam, PAC
• Joe B Putnam Jr., MD
• Savitha Puttaiah, M.D
• Puzzled Caterpillars, Inc
• Puzzling Patterns, LLC

• Massage Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.