Active NPI
Courtney Sandra Braden, LMT
- Massage Therapist
- Tampa, FL
National Provider Identifier
1710214481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1412 W Waters Ave Ste 204
Tampa, FL 33604-2802 - Phone
- (813) 935-8784
- Fax
- (813) 935-8387
- NPI assigned
- Nov 17, 2009
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1412 W Waters Ave Ste 204
Tampa, FL 33604-2802
Mailing address
1412 W Waters Ave Ste 204
Tampa, FL 33604-2802
Phone (813) 935-8784
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Injury Care, Inc. | 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.
-
- Rehabilitation Chiropractor
- Tampa, FL
- NPI 1609103225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1710214481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 W WATERS AVE STE 204",
"city": "TAMPA",
"state": "FL",
"postal_code": "336042802",
"telephone_number": "813-935-8784",
"fax_number": "813-935-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 W WATERS AVE STE 204",
"city": "TAMPA",
"state": "FL",
"postal_code": "336042802",
"telephone_number": "813-935-8784",
"fax_number": "813-935-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADEN",
"first_name": "COURTNEY",
"middle_name": "SANDRA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-17",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.