Ryan Daniel Mortimer, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA93472 Issued in FL

Practice address

4023 Henderson Blvd
Tampa, FL 33629-4939

Phone

(813) 603-7900

NPI assigned

Apr 12, 2023

Last updated

Apr 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlas Sports and Medical Massage Limited Liability Company

  • Massage Therapist
  • Tampa, FL
  • NPI 1427741792
  NPD Authorized official

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1588350714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336294939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336294939",
            "telephone_number": "813-603-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTIMER",
        "first_name": "RYAN",
        "middle_name": "DANIEL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA93472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Morse, MD
• Leticia Angela Morse, RN MSN CNS
• Richard James Morse, RPH
• Robert David Morse, CRNA
• Mildred Mortimer
• Michael Morton, MS
• Mosaic Wellness Collective, LLC
• Millie Anne Moschella
• Lynn Moscinski, MD
• Mark G Moseley, M.D.

• Massage Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.