Individual provider Active NPI

Joyce Ann Prahasky, MASSAGE THERAPIST

  • Massage Therapist
  • Lutz, FL
National Provider Identifier
1609485036
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61184 Issued in FL
Practice address
1515 Dale Mabry Hwy Ste 102
Lutz, FL 33548-3023
Phone
(813) 515-0369
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61184 FL Primary

Addresses

Primary practice location

1515 Dale Mabry Hwy Ste 102
Lutz, FL 33548-3023

Mailing address

1515 Dale Mabry Hwy Ste 102
Lutz, FL 33548-3023
Phone (813) 787-6399

Other identifiers 1

IdentifierTypeStateIssuer
MA61184OtherFLMASSAGE THERAPY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL massagebyjoyce@gmail.com

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

LicenseStateTypeSpecialty
MA61184FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massage by Joyce, LLC Massage Therapist CurrentSince Aug 9, 2020 Accepting new patients

Locations

1515 Dale Mabry Hwy
Ste 102
Lutz, FL 33548
Phone (813) 245-5649

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1609485036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DALE MABRY HWY STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335483023",
            "telephone_number": "813-787-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 DALE MABRY HWY STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335483023",
            "telephone_number": "813-515-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAHASKY",
        "first_name": "JOYCE",
        "middle_name": "ANN",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA61184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "MA61184",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "massagebyjoyce@gmail.com",
            "affiliation": "N",
            "address_1": "1515 Dale Mabry Hwy Ste 102",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335483023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.