Organization Active NPI

S & B Massage Therapy

  • Massage Therapist
  • Miami, FL
National Provider Identifier
1568744191
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61028 Issued in FL
Legal business name
S & B MASSAGE THERAPY
Practice address
2711 SW 137TH Ave Ste 83
Miami, FL 33175-6360
Phone
(786) 228-9490
Fax
(305) 647-6404
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Nicanor Haidar, MANPI 1811279177
Title
President
Phone
(786) 228-9490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA61028 FL Primary

Addresses

Primary practice location

2711 SW 137TH Ave Ste 83
Miami, FL 33175-6360

Mailing address

2711 SW 137TH Ave Ste 83
Miami, FL 33175-6360
Phone (786) 228-9490

National Provider Directory

National Provider Directory

Locations

2711 SW 137th Ave
Ste 83
Miami, FL 33175
Phone (305) 228-4974

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1568744191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 SW 137TH AVE STE 83",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756360",
            "telephone_number": "786-228-9490",
            "fax_number": "305-647-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 SW 137TH AVE STE 83",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756360",
            "telephone_number": "786-228-9490",
            "fax_number": "305-647-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & B MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "HAIDAR",
        "authorized_official_first_name": "NICANOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-228-9490",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA61028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.