Individual provider Active NPI

Michelle R Burberry, MASSAGE THERAPIST

  • Massage Therapist
  • Vero Beach, FL
National Provider Identifier
1497094668
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA100928 Issued in FL
Practice address
780 US 1 Unit 201
Vero Beach, FL 32962-1662
Phone
(772) 202-0572
NPI assigned
Feb 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA.07819 OH
Physical Therapy Assistant 225200000X PTA27188 FL
Massage Therapist 225700000X MA100928 FL Primary

Addresses

Primary practice location

780 US 1 Unit 201
Vero Beach, FL 32962-1662

Mailing address

250 Provence PL
Vero Beach, FL 32960-7068
Phone (772) 202-0572

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
PTA27188FLMDPhysical Therapy Assistant
PTA.07819OHMDPhysical Therapy Assistant
MA100928FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Healthcare Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1497094668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PROVENCE PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607068",
            "telephone_number": "772-202-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 US 1 UNIT 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329621662",
            "telephone_number": "772-202-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBERRY",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA.07819",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27188",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA100928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.