Gina Burroughs, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

547 E New York Ave Ste D
Deland, FL 32724-6081

Phone

(386) 873-2431

NPI assigned

Oct 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Phoenix Body & Mind, LLC

  • Massage Therapist
  • Deland, FL
  • NPI 1689366148

  Single Specialty

  NPD

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1689496234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E NEW YORK AVE STE D",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327246081",
            "telephone_number": "386-873-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 E NEW YORK AVE STE D",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327246081",
            "telephone_number": "386-873-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "GINA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Bryant, LMT
• Kylie A Buatsi, CCC-SLP
• David Joseph Buczkowske, D.O.
• Malena Bullard, PHARM D
• Silver Buonocore, LMHC
• Katherine Burtis, DC
• Sunshine Michele Bush, MA, CCC-SLP
• Ernesto Bustinza Linares, M.D.
• Betty J Butler, MSW
• Christie Cain

• Massage Therapist in Deland, FL
• Providers in Deland, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.