Individual provider Active NPI

Adilene Magana

  • Massage Therapist
  • Vero Beach, FL
National Provider Identifier
1649509779
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA53732 Issued in FL
Practice address
2965 20TH St
Vero Beach, FL 32960-3097
Phone
(772) 567-8585
Fax
(772) 299-7868
NPI assigned
Dec 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 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 MA53732 FL Primary

Addresses

Primary practice location

2965 20TH St
Vero Beach, FL 32960-3097

Mailing address

2965 20TH St
Vero Beach, FL 32960-3097
Phone (772) 567-8585

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
MA53732FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Motion Therapeutic Massage,Inc Massage Therapist Past Accepting new patients
Advanced Motion Therapeutic Massage, Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1649509779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603097",
            "telephone_number": "772-567-8585",
            "fax_number": "772-299-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603097",
            "telephone_number": "772-567-8585",
            "fax_number": "772-299-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANA",
        "first_name": "ADILENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA53732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.