NPIMap

Organization Active NPI

Avalon Massage & Body Works Inc.

  • Massage Therapist
  • Debary, FL
National Provider Identifier
1780980722
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MM25438 Issued in FL
Legal business name
AVALON MASSAGE & BODY WORKS INC.
Practice address
430 Summerhaven Dr
300
Debary, FL 32713-2755
Phone
(386) 848-0548
NPI assigned
Feb 9, 2011
Last updated
May 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Teresa MillerNPI 1225331226
Title
Owner/Therapist
Phone
(386) 848-0548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MM25438 FL Primary

Addresses

Primary practice location

430 Summerhaven Dr
300
Debary, FL 32713-2755

Mailing address

430 Summerhaven Dr
300
Debary, FL 32713-2755
Phone (386) 848-0548

National Provider Directory

National Provider Directory

Locations

430 Summerhaven Dr
Ste 300
Debary, FL 32713
Phone (386) 848-0548

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1780980722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SUMMERHAVEN DR",
            "address_2": "300",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132755",
            "telephone_number": "386-848-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SUMMERHAVEN DR",
            "address_2": "300",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132755",
            "telephone_number": "386-848-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON MASSAGE & BODY WORKS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "386-848-0548"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM25438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.