Organization Active NPI

Atlantic Structural Energetic Therapy, Inc.

  • Massage Therapist
  • Jacksonville, FL
National Provider Identifier
1780992974
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA20212 Issued in FL
Legal business name
ATLANTIC STRUCTURAL ENERGETIC THERAPY, INC.
Practice address
2144 Holly Oaks River Dr
Jacksonville, FL 32225-4885
Phone
(904) 655-4965
NPI assigned
Sep 22, 2010
Last updated
Sep 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Mr. Don C Mette', LMT,MTPT,SETNPI 1710174768
Title
President
Phone
(904) 455-6955

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 MA20212 FL Primary

Addresses

Primary practice location

2144 Holly Oaks River Dr
Jacksonville, FL 32225-4885

Mailing address

2144 Holly Oaks River Dr
Jacksonville, FL 32225-4885
Phone (904) 655-4965

National Provider Directory

National Provider Directory

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": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1780992974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 HOLLY OAKS RIVER DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254885",
            "telephone_number": "904-655-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 HOLLY OAKS RIVER DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254885",
            "telephone_number": "904-655-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC STRUCTURAL ENERGETIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "METTE'",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-455-6955",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT,MTPT,SET"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA20212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.