Active NPI
Paola Andrea Mazo, LMT
- Massage Therapist
- Weston, FL
National Provider Identifier
1548816820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 88989
- Practice address
- 2741 Executive Park Dr Ste 4
Weston, FL 33331-3641 - Phone
- (954) 380-2263
- NPI assigned
- Aug 13, 2019
- 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 | 88989 | FL | Primary |
Addresses
Primary practice location
2741 Executive Park Dr Ste 4
Weston, FL 33331-3641
Mailing address
2908 NW 80TH Ave
Sunrise, FL 33322-2428
Phone (954) 380-2263
Other practice location 1
2741 Executive Park Dr Ste 4
Weston, FL 33331-3641
Phone (954) 380-2263
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 |
|---|---|---|---|
| 88989 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Qi Therapy Inc | Single Specialty | Current | Accepting new patients |
Locations
2741 Executive Park Dr
Ste 4
Weston, FL 33331
Phone (954) 289-5472
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1548816820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 NW 80TH AVE",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333222428",
"telephone_number": "954-380-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 EXECUTIVE PARK DR STE 4",
"city": "WESTON",
"state": "FL",
"postal_code": "333313641",
"telephone_number": "954-380-2263"
}
],
"practiceLocations": [
{
"address_1": "2741 Executive Park Dr Ste 4",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "FL",
"postal_code": "333313641",
"country_code": "US",
"telephone_number": "954-380-2263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAZO",
"first_name": "PAOLA",
"middle_name": "ANDREA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "88989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.