Individual provider Active NPI

Paola Andrea Mazo, LMT

  • Massage Therapist
  • Weston, FL
National Provider Identifier
1548816820
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
88989 Issued in FL
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

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
88989FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Qi Therapy Inc Single Specialty CurrentSince Aug 25, 2019 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.

Verify at the official NPI Registry.