Deborah Black, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7734 Issued in SC

Practice address

705 Bladen St
Beaufort, SC 29902-4915

Phone

(562) 852-4309

NPI assigned

Aug 20, 2024

Last updated

Aug 20, 2024By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1598598260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BLADEN ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299024915",
            "telephone_number": "562-852-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BLADEN ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299024915",
            "telephone_number": "562-852-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "DEBORAH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "7734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Bingham, BSW
• Kathryn Ann Bird, DDS
• Abby Bishop, MA CCC-SLP, CLC
• Benjamin Logan Bishop
• William Benjamin Bishop III, PT, MSR
• Tara Christine Blackburn, PTA
• Clyde P. Blalock, MD
• Jesse Blalock, PHARM D.
• Jessica R Bland, PSY.D.
• Kristin Lynn Blank, OTR/L

• Massage Therapist in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Massage Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.