Individual provider Active NPI

Stephanie A Mainit, LMT

  • Massage Therapist
  • Winter Park, FL
National Provider Identifier
1730730607
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA83602 Issued in FL
Practice address
2100 Lee Rd Ste F
Winter Park, FL 32789-1862
Phone
(407) 756-3005
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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 MA83602 FL Primary

Addresses

Primary practice location

2100 Lee Rd Ste F
Winter Park, FL 32789-1862

Mailing address

PO Box 1101
Winter Park, FL 32790-1101
Phone (407) 756-3005

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
MA83602FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roots 2 Wellness, LLC Massage Therapist CurrentSince Sep 29, 2019 Accepting new patients

Locations

2100 Lee Rd
Ste F
Winter Park, FL 32789
Phone (407) 756-3005

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1730730607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1101",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327901101",
            "telephone_number": "407-756-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LEE RD STE F",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891862",
            "telephone_number": "407-756-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINIT",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA83602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.