Individual provider Active NPI

Hilma Powell

  • PACE Provider Organization
  • Juno Beach, FL
National Provider Identifier
1720240963
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Practice address
570 Ocean Drive #501
Holistic Massage & Wellness Clinic
Juno Beach, FL 33408
Phone
(954) 491-2225
Fax
(954) 491-6862
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

570 Ocean Drive #501
Holistic Massage & Wellness Clinic
Juno Beach, FL 33408

Mailing address

1351 Sussex Dr
North Lauderdale, FL 33068-5322
Phone (954) 822-2778

Other identifiers 1

IdentifierTypeStateIssuer
MA27627OtherFLMASSAGE THERAPIST

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

OrganizationSpecialtyStatusNew patients
Holistic Massage & Wellness Clinics 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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1720240963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 SUSSEX DR",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330685322",
            "telephone_number": "954-822-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 OCEAN DRIVE #501",
            "address_2": "HOLISTIC MASSAGE & WELLNESS CLINIC",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "954-491-2225",
            "fax_number": "954-491-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "HILMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "MA27627",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juno Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.