Moore Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MOORE MASSAGE LLC

Practice address

738 SW Main Blvd
Lake City, FL 32025-5768

Phone

(904) 437-9823

Fax

(386) 406-8013

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Kasey Moore, LMTNPI 1265833149

Title

Owner

Phone

(386) 400-3140

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 6

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

• Kasey Moore, LMT

  • Massage Therapist
  • Lake City, FL
  • NPI 1265833149
  NPD Authorized official
• Nikki Mariah Evirs, LMT

  • Massage Therapist
  • Lake City, FL
  • NPI 1437940244
  NPD
• Maxine Andrea Gordon, LMT

  • Massage Therapist
  • Lake City, FL
  • NPI 1326856618
  NPD
• Carrie Lynn Hogue, LMT

  • Massage Therapist
  • Lake City, FL
  • NPI 1821862426
  NPD
• Kelly Davis Roberts, LMT

  • Massage Therapist
  • Lake City, FL
  • NPI 1114742079
  NPD
• Adaira Pitts, LMT

  • Massage Therapist
  • Lake City, FL
  • NPI 1700703709
  NPD (past)

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741392000000",
    "number": "1558067579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 SE WALDRON TERRACE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32025",
            "telephone_number": "904-437-9823",
            "fax_number": "386-406-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255768",
            "telephone_number": "904-437-9823",
            "fax_number": "386-406-8013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 SE Baya Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320258007",
            "country_code": "US",
            "telephone_number": "386-400-3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOORE MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-400-3140",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114742079",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1821862426",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265833149",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1326856618",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Monroe
• Denisha D Montgomery
• Vernon P Montoya, M.D.
• Felicia Shundriell Moody, PHARM.D
• Jennifer P Moon
• Dustin C Moore, PTA
• Kasey Moore, LMT
• Theresa Marie Moore
• Brittney Moreau, B.S.W.
• Amanda Kay Morgan, APRN

• Massage Therapist in Lake City, FL
• Providers in Lake City, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.