Active NPI
Igmar Chang
- Massage Therapist
- Miami, FL
National Provider Identifier
1760516504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 39363
- Practice address
- 3901 SW 109TH Ave
Apt G10
Miami, FL 33165-4438 - Phone
- (305) 300-8631
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- 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 | MA 39363 | FL | Primary |
Addresses
Primary practice location
3901 SW 109TH Ave
Apt G10
Miami, FL 33165-4438
Mailing address
3901 SW 109Ave Apt G10
Miami, FL 33165
Phone (305) 300-8631
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 |
|---|---|---|---|
| MA 39363 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760516504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 SW 109AVE APT G10",
"city": "MIAMI",
"state": "FL",
"postal_code": "33165",
"telephone_number": "305-300-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 SW 109TH AVE",
"address_2": "APT G10",
"city": "MIAMI",
"state": "FL",
"postal_code": "331654438",
"telephone_number": "305-300-8631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "IGMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 39363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, 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.