Individual provider Active NPI

Paul E Pearson, LMT

  • Specialist
  • Pensacola, FL
National Provider Identifier
1528338522
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA66876 Issued in FL
Practice address
6400 N Davis Hwy
Suite 2
Pensacola, FL 32504-6903
Phone
(850) 466-5389
NPI assigned
Jan 6, 2012
Last updated
Jan 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA66876 FL Primary

Addresses

Primary practice location

6400 N Davis Hwy
Suite 2
Pensacola, FL 32504-6903

Mailing address

6400 N Davis Hwy
Suite 2
Pensacola, FL 32504-6903
Phone (850) 466-5389

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
MA66876FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1528338522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 N DAVIS HWY",
            "address_2": "SUITE 2",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046903",
            "telephone_number": "850-466-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 N DAVIS HWY",
            "address_2": "SUITE 2",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046903",
            "telephone_number": "850-466-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA66876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.