Active NPI
Kathleen M Ford, MA
- Massage Therapist
- Cape Coral, FL
National Provider Identifier
1629540281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 26068
- Practice address
- 822 Del Prado Blvd S Ste 120
Cape Coral, FL 33990-2687 - Phone
- (239) 770-8998
- NPI assigned
- Dec 20, 2018
- 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 | 26068 | FL | Primary |
Addresses
Primary practice location
822 Del Prado Blvd S Ste 120
Cape Coral, FL 33990-2687
Mailing address
1825 Flagler Ave
Lehigh Acres, FL 33936-5368
Phone (239) 770-8998
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26068 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Natural Massage Therapy | Single Specialty | Past | Accepting new patients |
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": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1629540281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 FLAGLER AVE",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339365368",
"telephone_number": "239-770-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 DEL PRADO BLVD S STE 120",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902687",
"telephone_number": "239-770-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-20",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "26068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.