Active NPI
Katy Severin, LMT
- Massage Therapist
- Anthony, FL
National Provider Identifier
1588021034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA80330
- Practice address
- 13325 NE 41St Ter
Anthony, FL 32617-2419 - Phone
- (352) 362-4331
- NPI assigned
- Jan 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA80330 | FL | Primary |
Addresses
Primary practice location
13325 NE 41St Ter
Anthony, FL 32617-2419
Mailing address
13325 NE 41St Ter
Anthony, FL 32617-2419
Phone (352) 362-4331
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1588021034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13325 NE 41ST TER",
"city": "ANTHONY",
"state": "FL",
"postal_code": "326172419",
"telephone_number": "352-362-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13325 NE 41ST TER",
"city": "ANTHONY",
"state": "FL",
"postal_code": "326172419",
"telephone_number": "352-362-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERIN",
"first_name": "KATY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-27",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA80330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anthony, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.