Treasure Coast Integrative Therapies

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MA-20703 Issued in FL

Legal business name

TREASURE COAST INTEGRATIVE THERAPIES

Practice address

1360 US Highway 1
Suite 5
Vero Beach, FL 32960-5703

Phone

(772) 569-7770

Fax

(772) 569-7770

NPI assigned

Aug 27, 2010

Last updated

Aug 27, 2010By 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

Philip Dyke, L.M.T.NPI 1023324092

Title

President

Phone

(772) 569-7770

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Philip Dyke, L.M.T.

  • Massage Therapist
  • Vero Beach, FL
  • NPI 1023324092
  Authorized official Same address or phone
• Angela Marie Coney, LMT

  • Massage Therapist
  • Vero Beach, FL
  • NPI 1386965317
  NPD (past)

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1598071532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 US HIGHWAY 1",
            "address_2": "SUITE 5",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605703",
            "telephone_number": "772-569-7770",
            "fax_number": "772-569-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 US HIGHWAY 1",
            "address_2": "SUITE 5",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605703",
            "telephone_number": "772-569-7770",
            "fax_number": "772-569-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST INTEGRATIVE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "DYKE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-569-7770",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MA-20703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Treasure Coast Homecare, LLC (Home Instead Senior Care)
• Treasure Coast Infectious Disease Consultants
• Treasure Coast Ketamine Wellness & IV Nutrition Center
• Treasure Coast Medical Services, Inc. (Sandpiper Imaging Center)
• Treasure Coast Nurse Practitioners
• Treasure Coast Obstetrics and Gynecology PL
• Treasure Coast Opticians

• Clinic/Center in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.