Individual provider Active NPI

Ajit Nayar, MASSAGE THERAPIST

  • Massage Therapist
  • Port Saint Lucie, FL
National Provider Identifier
1639788276
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA104109 Issued in FL
Practice address
401 SW Voltair Ter
Port Saint Lucie, FL 34984-3535
Phone
(915) 320-0468
NPI assigned
Jul 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA104109 FL Primary
Massage Therapist 225700000X MT120363 TX

Addresses

Primary practice location

401 SW Voltair Ter
Port Saint Lucie, FL 34984-3535

Mailing address

401 SW Voltair Ter
Port Saint Lucie, FL 34984-3535
Phone (915) 320-0468

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

LicenseStateTypeSpecialty
MA104109FLMDMassage Therapist
MT120363TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1639788276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SW VOLTAIR TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349843535",
            "telephone_number": "915-320-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW VOLTAIR TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349843535",
            "telephone_number": "915-320-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAR",
        "first_name": "AJIT",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA104109",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT120363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.