Active NPI
Della Rae Danley, LMT
- Massage Therapist
- Melbourne, FL
National Provider Identifier
1710028436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA28047
- Practice address
- 529 E New Haven Ave
Melbourne, FL 32901-5461 - Phone
- (321) 768-7575
- NPI assigned
- Feb 8, 2007
- 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 | MA28047 | FL | Primary |
Addresses
Primary practice location
529 E New Haven Ave
Melbourne, FL 32901-5461
Mailing address
1994 Ford Cir N
Melbourne, FL 32935-3983
Phone (321) 242-7719
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 |
|---|---|---|---|
| MA28047 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus Heart Holistic Center | Massage Therapist | Past | Accepting new patients |
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": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710028436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1994 FORD CIR N",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329353983",
"telephone_number": "321-242-7719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 E NEW HAVEN AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329015461",
"telephone_number": "321-768-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANLEY",
"first_name": "DELLA",
"middle_name": "RAE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA28047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.