Organization Active NPI

Muscle Eze LLC

  • Massage Therapist
  • Bradenton, FL
National Provider Identifier
1790013654
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MM24923 Issued in FL
Legal business name
MUSCLE EZE LLC
Practice address
2620 Manatee Ave W
Suite a
Bradenton, FL 34205-4944
Phone
(941) 981-0880
Fax
(941) 932-8094
NPI assigned
Dec 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Mr. Neil W Holmes, LMT
Title
Manager
Phone
(941) 981-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MM24923 FL Primary

Addresses

Primary practice location

2620 Manatee Ave W
Suite a
Bradenton, FL 34205-4944

Mailing address

2620 Manatee Ave W
Suite a
Bradenton, FL 34205-4944
Phone (941) 981-0880

National Provider Directory

National Provider Directory

Locations

2620 Manatee Ave W
Ste A
Bradenton, FL 34205
Phone (941) 981-0880

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1790013654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 MANATEE AVE W",
            "address_2": "SUITE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054944",
            "telephone_number": "941-981-0880",
            "fax_number": "941-932-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 MANATEE AVE W",
            "address_2": "SUITE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054944",
            "telephone_number": "941-981-0880",
            "fax_number": "941-932-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCLE EZE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-981-0880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM24923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.