Lourdes Godomar, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA41147 Issued in FL

Practice address

4431 SW 64TH Ave
105
Davie, FL 33314-3458

Phone

(954) 316-1476

Fax

(954) 316-1130

NPI assigned

Mar 13, 2017

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Esencia Wellness & Therapy LLC.

  • Physical Therapist
  • Davie, FL
  • NPI 1952845919
  NPD Authorized official

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1699216598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 SW 64TH AVE",
            "address_2": "105",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143458",
            "telephone_number": "954-316-1476",
            "fax_number": "954-316-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 SW 64TH AVE",
            "address_2": "105",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143458",
            "telephone_number": "954-316-1476",
            "fax_number": "954-316-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODOMAR",
        "first_name": "LOURDES",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA41147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Lynn Glenn, M.S. CCC-SLP
• Kelly A Glista
• Milla-Angelina N/a Gloria
• Gochiro LLC
• God'S Vip Senior Haven, LLC
• Antonio Godoy, DDS., MS.
• Gods Vip Senior Haven, LLC
• Leah Goedecke, DO
• Hunter Goetz
• Yana Gofman, YANA GOFMAN, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.