Active NPI
Michele Renee Fisher, L.M.T.
- Massage Therapist
- Delray Beach, FL
National Provider Identifier
1770750077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA-28774
- Practice address
- 13660 Jog Road
Suite 3 & 4
Delray Beach, FL 33446 - Phone
- (561) 767-6318
- NPI assigned
- May 15, 2008
- Sex
- Female
- 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-28774 | FL | Primary |
Addresses
Primary practice location
13660 Jog Road
Suite 3 & 4
Delray Beach, FL 33446
Mailing address
95 Via de Casas Norte
Boynton Beach, FL 33426
Phone (561) 767-6318
Other names 1
- Miss Michele Renee Northrup
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-28774 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355961600000",
"number": "1770750077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 VIA DE CASAS NORTE",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "33426",
"telephone_number": "561-767-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13660 JOG ROAD",
"address_2": "SUITE 3 & 4",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "33446",
"telephone_number": "561-767-6318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "MICHELE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2012-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA-28774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "NORTHRUP",
"middle_name": "RENEE",
"prefix": "MISS",
"credential": "L.M.T.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.