The Center for Massage Therapy, Cooper City, Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AP3017 Issued in FL

Legal business name

THE CENTER FOR MASSAGE THERAPY, COOPER CITY, INC

Practice address

9850 Stirling Rd
Suite 102
Hollywood, FL 33024-8068

Phone

(954) 434-1990

Fax

(954) 433-4475

NPI assigned

Oct 17, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Dennis P. Farretta, L.M.T.

Title

Owner/Licensed Therapist

Phone

(954) 434-1990

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Center For Massage Therapy, Inc Former legal business name

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1629353008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 STIRLING RD",
            "address_2": "SUITE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248068",
            "telephone_number": "954-434-1990",
            "fax_number": "954-433-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 STIRLING RD",
            "address_2": "SUITE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248068",
            "telephone_number": "954-434-1990",
            "fax_number": "954-433-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR MASSAGE THERAPY, COOPER CITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "FARRETTA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/LICENSED THERAPIST",
        "authorized_official_telephone_number": "954-434-1990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "MA9569",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "AP3017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L.M.T.",
            "identifier": "1154487171",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "1609932565",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center For Massage Therapy, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Health Service Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.