Active NPI
Tunde Halmai Mullins, LMT
- Massage Therapist
- North Myrtle Beach, SC
National Provider Identifier
1770294126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 9935
- Practice address
- 211 Highway 17 N Ste 201
North Myrtle Beach, SC 29582-8107 - Phone
- (843) 489-0788
- NPI assigned
- Dec 7, 2022
- Last updated
- May 12, 2023
- 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 | 9935 | SC | Primary |
Addresses
Primary practice location
211 Highway 17 N Ste 201
North Myrtle Beach, SC 29582-8107
Mailing address
811 Night Heron LN
Myrtle Beach, SC 29572-5726
Phone (843) 340-1475
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 |
|---|---|---|---|
| 9935 | SC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synerje LLC | Massage Therapist | Current | Accepting new patients |
Locations
1021 2nd Ave N
Ste 6
North Myrtle Beach, SC 29582
Phone (304) 676-2077
211 Highway 17 N
Ste 201
North Myrtle Beach, SC 29582
Phone (843) 433-0129
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Massage Therapist
- North Myrtle Beach, SC
- NPI 1649987108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1770294126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 NIGHT HERON LN",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295725726",
"telephone_number": "843-340-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 HIGHWAY 17 N STE 201",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295828107",
"telephone_number": "843-489-0788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "TUNDE",
"middle_name": "HALMAI",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-07",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "9935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.