Active NPI
Bridgett Muriel Antolick, LMT
- Massage Therapist
- Winter Springs, FL
National Provider Identifier
1538467147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA51884
- Practice address
- 933 Old White Way
Winter Springs, FL 32708-4353 - Phone
- (407) 461-5504
- NPI assigned
- Mar 6, 2011
- Last updated
- Mar 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA51884 | FL | Primary |
Addresses
Primary practice location
933 Old White Way
Winter Springs, FL 32708-4353
Mailing address
933 Old White Way
Winter Springs, FL 32708-4353
Phone (407) 461-5504
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA51884 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299369600000",
"number": "1538467147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 OLD WHITE WAY",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327084353",
"telephone_number": "407-461-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 OLD WHITE WAY",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327084353",
"telephone_number": "407-461-5504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTOLICK",
"first_name": "BRIDGETT",
"middle_name": "MURIEL",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-06",
"last_updated": "2011-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA51884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.