Individual provider Active NPI

Angela Swan, LMT

  • Massage Therapist
  • Bonita Springs, FL
National Provider Identifier
1699042598
Registry record updated Nov 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60223 Issued in FL
Practice address
8840 Terrene CT
Unit 101
Bonita Springs, FL 34135-9533
Phone
(239) 692-1544
NPI assigned
Nov 20, 2011
Last updated
Nov 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2011

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 60223 FL Primary

Addresses

Primary practice location

8840 Terrene CT
Unit 101
Bonita Springs, FL 34135-9533

Mailing address

27004 Adriana Cir
#201
Bonita Springs, FL 34135-6549
Phone (239) 692-1544

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
60223FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1321747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321747200000",
    "number": "1699042598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27004 ADRIANA CIR",
            "address_2": "#201",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356549",
            "telephone_number": "239-692-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 TERRENE CT",
            "address_2": "UNIT 101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341359533",
            "telephone_number": "239-692-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "ANGELA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-20",
        "last_updated": "2011-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "60223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2011; 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.