Larry J. Fishman L.M.T. PA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA27581 Issued in FL

Legal business name

LARRY J. FISHMAN L.M.T. PA

Practice address

1262 NW 122ND Ter
Pembroke Pines, FL 33026-3851

Phone

(954) 599-7577

Fax

(954) 733-6892

NPI assigned

Mar 13, 2009

Last updated

Mar 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Larry Jacob Fishman, LMTNPI 1669654919

Title

President

Phone

(954) 599-7577

Specialties & licenses 1

Addresses

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.

• Larry Fishman, LMT

  • Massage Therapist
  • Hollywood, FL
  • NPI 1669654919
  Authorized official Same address or phone

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1578704987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 NW 122ND TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263851",
            "telephone_number": "954-599-7577",
            "fax_number": "954-733-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 NW 122ND TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263851",
            "telephone_number": "954-599-7577",
            "fax_number": "954-733-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY J. FISHMAN L.M.T. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-599-7577",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA27581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 13, 2009; 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.