Individual provider Active NPI

Matthew Charles Hourigan, LMT

  • Massage Therapist
  • Tallahassee, FL
National Provider Identifier
1659607943
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA35189 Issued in FL
Practice address
1291 Cedar Center Dr
Tallahassee, FL 32301-4877
Phone
(850) 942-4115
NPI assigned
Oct 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 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 MA35189 FL Primary

Addresses

Primary practice location

1291 Cedar Center Dr
Tallahassee, FL 32301-4877

Mailing address

5696 Braveheart Way
Tallahassee, FL 32317-9408
Phone (850) 445-2670

Other identifiers 1

IdentifierTypeStateIssuer
C2193OtherFLBLUE CROSS BLUE SHIELD

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
MA35189FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reed Mathis, D.C. 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": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1659607943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5696 BRAVEHEART WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323179408",
            "telephone_number": "850-445-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 CEDAR CENTER DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014877",
            "telephone_number": "850-942-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOURIGAN",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA35189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C2193",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.