Individual provider Active NPI

Marcia Mary Austin, L.M.T.

  • Massage Therapist
  • South Daytona, FL
National Provider Identifier
1538463112
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60400 Issued in FL
Practice address
1780 S Nova Rd.
Suite 4
South Daytona, FL 32119-1777
Phone
(386) 788-4778
Fax
(386) 788-8110
NPI assigned
Dec 22, 2010
Last updated
Dec 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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 MA60400 FL Primary

Addresses

Primary practice location

1780 S Nova Rd.
Suite 4
South Daytona, FL 32119-1777

Mailing address

1780 South Nova Road
Suite 4
South Daytona, FL 32119-1777
Phone (386) 788-4778

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
MA60400FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vogel Chiropractic Clinic LLC PastSince May 1, 2017 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1538463112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 SOUTH NOVA ROAD",
            "address_2": "SUITE 4",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191777",
            "telephone_number": "386-788-4778",
            "fax_number": "386-788-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 S NOVA RD.",
            "address_2": "SUITE 4",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191777",
            "telephone_number": "386-788-4778",
            "fax_number": "386-788-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "MARCIA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA60400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.