Individual provider Active NPI

Erica Wassuta, LMT

  • Massage Therapist
  • Stuart, FL
National Provider Identifier
1669615209
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA44674 Issued in FL
Practice address
613 SE Central Parkway
Stuart, FL 34994
Phone
(772) 221-7638
Fax
(772) 221-7628
NPI assigned
Apr 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 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 MA44674 FL Primary

Addresses

Primary practice location

613 SE Central Parkway
Stuart, FL 34994

Mailing address

613 SE Central Parkway
Stuart, FL 34994
Phone (772) 221-7638

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
MA44674FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Therapeutics Inc 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": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1669615209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 SE CENTRAL PARKWAY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-221-7638",
            "fax_number": "772-221-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 SE CENTRAL PARKWAY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-221-7638",
            "fax_number": "772-221-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSUTA",
        "first_name": "ERICA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA44674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.