Monique P Blake, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA23465 Issued in FL

Practice address

1189 SW 26TH Ave
Ft Lauderdale, FL 33312-3017

Phone

(954) 558-2002

Fax

(954) 797-0331

NPI assigned

Aug 24, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Being in Touch, Inc

  • Massage Therapist
  • Fort Lauderdale, FL
  • NPI 1548493679
  NPD (past) Authorized official

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1548492671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246764",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240129",
            "telephone_number": "954-558-2002",
            "fax_number": "954-797-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 SW 26TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333123017",
            "telephone_number": "954-558-2002",
            "fax_number": "954-797-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "MONIQUE",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA23465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Blake-Edwards, M.S., LMHC
• Elizabeth Winton Blake, PH.D.
• Jennifer E Blake
• Jennifer Lynn Blake, SPEECH LANGUAGE PATH
• Lauren Blake, MS CCC-SLP
• Roger Blake
• Hilary Blakeley
• Simon Blanc, M.D.
• Alexander Blanca, DO
• Arnoux Blanchard, M.D

• Massage Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.