Organization Active NPI

Rogers Massage Therapy Clinic

  • Point of Service
  • Altamonte Springs, FL
National Provider Identifier
1780061267
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
MM11608 Issued in FL
Legal business name
ROGERS MASSAGE THERAPY CLINIC
Practice address
1061 East Altamonte Dr
Suite 1019
Altamonte Springs, FL 32701
Phone
(321) 439-1361
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Roger Corrales, LMT
Title
Owner
Phone
(321) 439-1361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X MM11608 FL Primary

Addresses

Primary practice location

1061 East Altamonte Dr
Suite 1019
Altamonte Springs, FL 32701

Mailing address

1061 E. Altamonte Drive
1019
Altamonte Springs, FL 32701
Phone (321) 439-1361

National Provider Directory

National Provider Directory

Locations

1061 E Altamonte Dr
1019
Altamonte Springs, FL 32701

1061 E Altamonte Dr
Ste 1019
Altamonte Springs, FL 32701
Phone (321) 439-1361

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1780061267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 E. ALTAMONTE DRIVE",
            "address_2": "1019",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "321-439-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 EAST ALTAMONTE DR",
            "address_2": "SUITE 1019",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "321-439-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS MASSAGE THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "CORRALES",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-439-1361",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "MM11608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.