Active NPI
June C. Sitler, LMT
- Massage Therapist
- Deland, FL
National Provider Identifier
1609897891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA32155
- Practice address
- 1109 W Euclid Ave
Deland, FL 32720-6553 - Phone
- (386) 943-9040
- Fax
- (386) 943-9937
- NPI assigned
- Jul 22, 2006
- 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 | MA32155 | FL | Primary |
Addresses
Primary practice location
1109 W Euclid Ave
Deland, FL 32720-6553
Mailing address
503 W Rich Ave
Deland, FL 32720-4152
Phone (386) 734-7156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2079 | Other | FL | BCBS PROVIDER # |
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 |
|---|---|---|---|
| MA32155 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609897891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 W RICH AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327204152",
"telephone_number": "386-734-7156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 W EUCLID AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327206553",
"telephone_number": "386-943-9040",
"fax_number": "386-943-9937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SITLER",
"first_name": "JUNE",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA32155",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "C2079",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.