Individual provider Active NPI

Sandra R Hijhtower Lewis, MASSAGE THERAPIST

  • Massage Therapist
  • Juno Beach, FL
National Provider Identifier
1780747121
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA46719 Issued in FL
Practice address
570 Ocean Dr #501
Holistic Massage & Wellsness Clinics
Juno Beach, FL 33408
Phone
(954) 491-2225
Fax
(954) 491-6862
NPI assigned
Dec 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Massage Therapist 225700000X MA46719 FL Primary

Addresses

Primary practice location

570 Ocean Dr #501
Holistic Massage & Wellsness Clinics
Juno Beach, FL 33408

Mailing address

5422 Gate Lake Rd
Tamarac, FL 33319
Phone (954) 394-0119

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
MA46719FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Massage & Wellness Clinics Massage Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780747121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 GATE LAKE RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "954-394-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 OCEAN DR #501",
            "address_2": "HOLISTIC MASSAGE & WELLSNESS CLINICS",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "954-491-2225",
            "fax_number": "954-491-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIJHTOWER LEWIS",
        "first_name": "SANDRA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA46719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juno 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.