Individual provider Active NPI

Michelle Hanson, LMT

  • Massage Therapist
  • Clearwater, FL
National Provider Identifier
1649499625
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 37928 Issued in FL
Practice address
28469 US Highway 19 N
402
Clearwater, FL 33761-2512
Phone
(727) 723-3888
Fax
(727) 796-2888
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 37928 FL Primary

Addresses

Primary practice location

28469 US Highway 19 N
402
Clearwater, FL 33761-2512

Mailing address

14791 Feather Cove Rd
Clearwater, FL 33762-3018
Phone (727) 776-7670

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 37928FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Countryside Chiropractic Inc Past Accepting new patients
Mac Alternative Therapies Inc Massage Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649499625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14791 FEATHER COVE RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623018",
            "telephone_number": "727-776-7670",
            "fax_number": "727-796-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28469 US HIGHWAY 19 N",
            "address_2": "402",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612512",
            "telephone_number": "727-723-3888",
            "fax_number": "727-796-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 37928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.