Miami Sporst Massage Center

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MT0000006640 Issued in TN

Legal business name

MIAMI SPORST MASSAGE CENTER

Practice address

11537 SW 81 Road
Miami, FL 33156

Phone

(305) 409-0532

NPI assigned

Jul 25, 2008

Organization subpart

No

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

Authorized official

Name

Kirstin M Nordlund

Title

Owner/Massage Therapist

Phone

(305) 409-0532

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1669637997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11537 SW 81ST RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331564414",
            "telephone_number": "305-409-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11537 SW 81 ROAD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "305-409-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI SPORST MASSAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "NORDLUND",
        "authorized_official_first_name": "KIRSTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "305-409-0532"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TN",
            "license": "MT0000006640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.