Active NPI
Grace Okon Paul-Xavier, LMT
- Massage Therapist
- Fort Lauderdale, FL
National Provider Identifier
1639477672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA-21007
- Practice address
- 2655 E Oakland Park Blvd Ste 6
Fort Lauderdale, FL 33306-1608 - Phone
- (954) 564-9536
- Fax
- (954) 514-9298
- NPI assigned
- Feb 28, 2011
- Sex
- Female
- Sole proprietor
- No
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 | MA-21007 | FL | Primary |
Addresses
Primary practice location
2655 E Oakland Park Blvd Ste 6
Fort Lauderdale, FL 33306-1608
Mailing address
191 NE 210TH St
Miami, FL 33179-1008
Phone (954) 294-9403
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 |
|---|---|---|---|
| MA-21007 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1639477672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 NE 210TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331791008",
"telephone_number": "954-294-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 E OAKLAND PARK BLVD STE 6",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061608",
"telephone_number": "954-564-9536",
"fax_number": "954-514-9298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL-XAVIER",
"first_name": "GRACE",
"middle_name": "OKON",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-28",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA-21007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.