Individual provider Active NPI

David Paul Schroeter Sr., LICENSED MASSAGE THE

  • Massage Therapist
  • Melbourne, FL
National Provider Identifier
1538221007
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 23326 Issued in FL
Practice address
700 E Lincoln Ave
Suite # 2
Melbourne, FL 32901-4800
Phone
(321) 953-6515
Fax
(321) 953-6515
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 MA 23326 FL Primary

Addresses

Primary practice location

700 E Lincoln Ave
Suite # 2
Melbourne, FL 32901-4800

Mailing address

700 E Lincoln Ave
Suite # 2
Melbourne, FL 32901-4800
Phone (321) 953-6515

Other identifiers 2

IdentifierTypeStateIssuer
MM 8525OtherFLESTABLISHMENT LIC #
MA - 23326OtherFLSTATE MASSAGE LICENSE #

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 23326FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1538221007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E LINCOLN AVE",
            "address_2": "SUITE # 2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014800",
            "telephone_number": "321-953-6515",
            "fax_number": "321-953-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E LINCOLN AVE",
            "address_2": "SUITE # 2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014800",
            "telephone_number": "321-953-6515",
            "fax_number": "321-953-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROETER",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LICENSED MASSAGE THE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 23326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESTABLISHMENT  LIC #",
            "identifier": "MM 8525",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MASSAGE LICENSE #",
            "identifier": "MA - 23326",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.