Organization Active NPI

Serendipity Therapeutic Massage and Bodywork, Inc.

  • Primary Care Clinic/Center
  • Fort Pierce, FL
National Provider Identifier
1619485190
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
AP3906 Issued in FL
Legal business name
SERENDIPITY THERAPEUTIC MASSAGE AND BODYWORK, INC.
Practice address
800 Virginia Ave Ste 57
Fort Pierce, FL 34982-5892
Phone
(772) 521-3638
NPI assigned
Jan 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Cynthiaann Lee Hayes-Hurst, DOM, ACUPUNCTURE PHY
Title
President, Owner
Phone
(772) 521-3638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AP3906 FL Primary

Addresses

Primary practice location

800 Virginia Ave Ste 57
Fort Pierce, FL 34982-5892

Mailing address

1101 Driftwood LN
Fort Pierce, FL 34982-3317
Phone (772) 521-3638

National Provider Directory

National Provider Directory

Locations

800 Virginia Ave
Ste 57
Fort Pierce, FL 34982
Phone (772) 521-3638

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1619485190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 DRIFTWOOD LN",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349823317",
            "telephone_number": "772-521-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE STE 57",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825892",
            "telephone_number": "772-521-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIPITY THERAPEUTIC MASSAGE AND BODYWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "HAYES-HURST",
        "authorized_official_first_name": "CYNTHIAANN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "772-521-3638",
        "authorized_official_credential": "DOM, ACUPUNCTURE PHY"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "AP3906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.