Individual provider Active NPI

Andrea J Robins, L.M.T.

  • Mechanotherapist
  • New Smyrna Beach, FL
National Provider Identifier
1770700106
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA 5790 Issued in FL
Practice address
101 Cedar Dunes Drive
New Smyrna Beach, FL 32169
Phone
(386) 451-4331
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA 5790 FL Primary

Addresses

Primary practice location

101 Cedar Dunes Drive
New Smyrna Beach, FL 32169

Mailing address

101 Cedar Dunes Drive
New Smyrna Beach, FL 32169
Phone (386) 451-4331

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
MA 5790FLMDMechanotherapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770700106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CEDAR DUNES DRIVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "32169",
            "telephone_number": "386-451-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CEDAR DUNES DRIVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "32169",
            "telephone_number": "386-451-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINS",
        "first_name": "ANDREA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA  5790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, 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.

Verify at the official NPI Registry.