Individual provider Active NPI

Naydamar Tate, LMT

  • Massage Therapist
  • Altamonte Springs, FL
National Provider Identifier
1508082413
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA49084 Issued in FL
Practice address
499 E Central Pkwy
Suite 115
Altamonte Springs, FL 32701-3402
Phone
(407) 299-0646
Fax
(407) 299-6914
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA49084 FL Primary

Addresses

Primary practice location

499 E Central Pkwy
Suite 115
Altamonte Springs, FL 32701-3402

Mailing address

499 E Central Pkwy
Suite 115
Altamonte Springs, FL 32701-3402
Phone (407) 299-0646

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
MA49084FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508082413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PKWY",
            "address_2": "SUITE 115",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013402",
            "telephone_number": "407-299-0646",
            "fax_number": "407-299-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PKWY",
            "address_2": "SUITE 115",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013402",
            "telephone_number": "407-299-0646",
            "fax_number": "407-299-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "NAYDAMAR",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA49084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • 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.