Johanna A Beaty, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA47405 Issued in FL

Practice address

1222 SE 47TH St Ste 110
Cape Coral, FL 33904-9602

Phone

(239) 265-4727

NPI assigned

Jan 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Restore Massage Therapy LLC

  • Massage Therapist
  • Cape Coral, FL
  • NPI 1811528821
  NPD Authorized official

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1538799259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 SE 47TH ST STE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049602",
            "telephone_number": "239-265-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 SE 47TH ST STE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049602",
            "telephone_number": "239-265-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "JOHANNA",
        "middle_name": "A",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA47405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "massagebook.com",
            "affiliation": "N",
            "endpointDescription": "software",
            "address_1": "1222 SE 47th St Ste 110",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339049602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vladimir Bazo Garcia
• Andrea Lynn Beall, PHARMD, BCPS, BCPP
• Lauren Beall, PHARMD
• Kimberlee Beans
• Shepherd Lee Beasley, C.PED
• Sabine Beaugris, P.A.
• Jack G. Beaulieu, M.D.
• Jasmin Beauzieux
• Bebos Development Services LLC
• Nancy Becker, LCSW

• Massage Therapist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.