Individual provider Active NPI

Lawrence Lloyd Yundt, LMT

  • Massage Therapist
  • Tequesta, FL
National Provider Identifier
1649417494
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA#012288 Issued in FL
Practice address
150 No. U.S. Hway One
Suite 3-a
Tequesta, FL 33469
Phone
(561) 748-1026
NPI assigned
Jan 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA#012288 FL Primary

Addresses

Primary practice location

150 No. U.S. Hway One
Suite 3-a
Tequesta, FL 33469

Mailing address

150 No. U.S. Hway One
Suite 3-a
Tequesta, FL 33469
Phone (561) 748-1026

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
MA#012288FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Head to Toe Massage and Spa Massage Therapist 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": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1649417494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NO. U.S. HWAY ONE",
            "address_2": "SUITE 3-A",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "33469",
            "telephone_number": "561-748-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NO. U.S. HWAY ONE",
            "address_2": "SUITE 3-A",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "33469",
            "telephone_number": "561-748-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNDT",
        "first_name": "LAWRENCE",
        "middle_name": "LLOYD",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA#012288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tequesta, 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.

Verify at the official NPI Registry.