Individual provider Active NPI

Desiree G Urbina

  • Massage Therapist
  • Plantation, FL
National Provider Identifier
1568034460
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA91602 Issued in FL
Practice address
10701 Cleary Blvd Apt 108
Plantation, FL 33324-6039
Phone
(305) 834-6121
NPI assigned
Jul 12, 2021
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA91602 FL Primary

Addresses

Primary practice location

10701 Cleary Blvd Apt 108
Plantation, FL 33324-6039

Mailing address

10701 Cleary Blvd Apt 108
Plantation, FL 33324-6039
Phone (305) 834-6121

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
MA91602FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1568034460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 CLEARY BLVD APT 108",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333246039",
            "telephone_number": "305-834-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 CLEARY BLVD APT 108",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333246039",
            "telephone_number": "305-834-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBINA",
        "first_name": "DESIREE",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA91602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.