Active NPI
Laura Michelle Tucker, LMT, LMP
- Massage Therapist
- Merritt Island, FL
National Provider Identifier
1689838278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 00022531
- Practice address
- 629 Lychee PL
Merritt Island, FL 32952-4023 - Phone
- (321) 720-1088
- NPI assigned
- Jul 14, 2008
- 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 | 00022531 | FL | Primary |
Addresses
Primary practice location
629 Lychee PL
Merritt Island, FL 32952-4023
Mailing address
PO Box 360613
Melbourne, FL 32936-0613
Phone (321) 720-1088
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 |
|---|---|---|---|
| 00022531 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1689838278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 360613",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329360613",
"telephone_number": "321-720-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 LYCHEE PL",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329524023",
"telephone_number": "321-720-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "LAURA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LMT, LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "00022531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merritt Island, FL
- Jennifer Sue Trikones
- Laura L Trombly, DDS
- Tropical Family Healthcare, LLC
- True You Brevard LLC
- Kevin Khanh Truong, DMD
- Tuffstufs Enterprises Inc (HandyPro of the SpaceCoast)
- Sara Theresa Turner, RN,MSN,NP,PHN
- Timothy H Tweito, M.D.
- Urgent Care Centers of Brevard County LLC (Health First AdventHealth Centra Care Merritt Island)
- Usv Optical Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.