Active NPI
Angela Burns, LMT, MMP
- Massage Therapist
- Fort Myers, FL
National Provider Identifier
1679989131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA74523
- Practice address
- 9407 Cypress Lake Dr
Suite C
Fort Myers, FL 33919-0910 - Phone
- (239) 333-1450
- NPI assigned
- Jul 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA74523 | FL | Primary |
Addresses
Primary practice location
9407 Cypress Lake Dr
Suite C
Fort Myers, FL 33919-0910
Mailing address
6730 Mossy Glen Dr
Fort Myers, FL 33908-4772
Phone (708) 204-4562
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA74523 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404518400000",
"number": "1679989131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6730 MOSSY GLEN DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084772",
"telephone_number": "708-204-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9407 CYPRESS LAKE DR",
"address_2": "SUITE C",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339190910",
"telephone_number": "239-333-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "ANGELA",
"credential": "LMT, MMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-05",
"last_updated": "2014-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA74523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.