Active NPI
Shimon Eliezer
- Massage Therapist
- North Palm Beach, FL
National Provider Identifier
1780363473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA52653
- Practice address
- 784 US Highway 1 Ste 19
North Palm Beach, FL 33408-4411 - Phone
- (772) 985-4042
- NPI assigned
- Jul 12, 2023
- Sex
- Male
- 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 | MA52653 | FL | Primary |
Addresses
Primary practice location
784 US Highway 1 Ste 19
North Palm Beach, FL 33408-4411
Mailing address
2555 Pga Blvd Lot 374
Palm Beach Gardens, FL 33410-2956
Phone (772) 985-4042
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 |
|---|---|---|---|
| MA52653 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1780363473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 PGA BLVD LOT 374",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102956",
"telephone_number": "772-985-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 US HIGHWAY 1 STE 19",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "334084411",
"telephone_number": "772-985-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIEZER",
"first_name": "SHIMON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-12",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA52653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.