Individual provider Active NPI

Iosif Yuabov, MMT

  • Massage Therapist
  • Delray Beach, FL
National Provider Identifier
1689442394
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA99478 Issued in FL
Practice address
550 SE 6TH Ave Ste 200
Delray Beach, FL 33483-5306
Phone
(561) 760-1232
NPI assigned
Dec 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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 MA99478 FL Primary

Addresses

Primary practice location

550 SE 6TH Ave Ste 200
Delray Beach, FL 33483-5306

Mailing address

11211 S Military TRL Apt 614
Boynton Beach, FL 33436-7229
Phone (561) 760-1232

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
MA99478FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Imassagemed LLC Massage Therapist CurrentSince Nov 24, 2024 Accepting new patients

Locations

550 SE 6th Ave
#200
Delray Beach, FL 33483
Phone (561) 408-8500

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1689442394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 S MILITARY TRL APT 614",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367229",
            "telephone_number": "561-760-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SE 6TH AVE STE 200",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835306",
            "telephone_number": "561-760-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUABOV",
        "first_name": "IOSIF",
        "credential": "MMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA99478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.