NPIMap

Organization Active NPI

John Stephens

  • Massage Therapist
  • Cocoa Beach, FL
National Provider Identifier
1548301245
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MM9078 Issued in FL
Legal business name
JOHN STEPHENS
Doing business as
Stress Management Center
Practice address
49 S Atlantic Ave
Cocoa Beach, FL 32931-2713
Phone
(321) 783-5592
Fax
(321) 783-0558
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
John Frank Stephens, B.A., L.M.T.NPI 1487707527
Title
Owner
Phone
(321) 783-5592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AP2085 FL
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MM9078 FL Primary

Addresses

Primary practice location

49 S Atlantic Ave
Cocoa Beach, FL 32931-2713

Mailing address

49 S Atlantic Ave
Cocoa Beach, FL 32931-2713
Phone (321) 783-5592

Other identifiers 1

IdentifierTypeStateIssuer
MM9078OtherFLFL MASSAGE ESTAB NUMBER

Other names 1

  • Stress Management Center Doing business as

National Provider Directory

National Provider Directory

Locations

49 S Atlantic Ave
Cocoa Beach, FL 32931
Phone (321) 783-5592

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1548301245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 S ATLANTIC AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312713",
            "telephone_number": "321-783-5592",
            "fax_number": "321-783-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 S ATLANTIC AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312713",
            "telephone_number": "321-783-5592",
            "fax_number": "321-783-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN STEPHENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-783-5592",
        "authorized_official_credential": "B.A., L.M.T."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2085",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM9078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MASSAGE ESTAB NUMBER",
            "identifier": "MM9078",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stress Management Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cocoa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.