Active NPI
Sarah Blackburn
- Massage Therapist
- Pompano Beach, FL
National Provider Identifier
1609026194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 42341
- Practice address
- 553 E Sample Rd
Pompano Beach, FL 33064-4425 - Phone
- (954) 782-8275
- NPI assigned
- Sep 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 42341 | FL | Primary |
Addresses
Primary practice location
553 E Sample Rd
Pompano Beach, FL 33064-4425
Mailing address
471 SE 3Rd Ave
Pompano Beach, FL 33060-8001
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42341 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1609026194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 SE 3RD AVE",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330608001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "553 E SAMPLE RD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330644425",
"telephone_number": "954-782-8275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBURN",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-22",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "42341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.