Active NPI
Ruza Vacek Richardson, LMT, BA
- Massage Therapist
- Saint Petersburg, FL
National Provider Identifier
1639316441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13778
- Practice address
- 3801 Park St N
Suite #2
Saint Petersburg, FL 33709-4078 - Phone
- (727) 343-8783
- NPI assigned
- Jan 15, 2009
- 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 | 13778 | FL | Primary |
Addresses
Primary practice location
3801 Park St N
Suite #2
Saint Petersburg, FL 33709-4078
Mailing address
3908 58TH Ave N
Saint Petersburg, FL 33714-1131
Phone (727) 515-9475
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13778 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1639316441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3908 58TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337141131",
"telephone_number": "727-515-9475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 PARK ST N",
"address_2": "SUITE #2",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337094078",
"telephone_number": "727-343-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "RUZA",
"middle_name": "VACEK",
"name_prefix": "Mrs.",
"credential": "LMT, BA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-15",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "13778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.