Active NPI
Brenda Ammon
- Massage Therapist
- North Palm Beach, FL
National Provider Identifier
1801010863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16821
- Practice address
- 1208 Marine Way
Ad2
North Palm Beach, FL 33408-6616 - Phone
- (561) 307-4978
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- 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 | 16821 | FL | Primary |
Addresses
Primary practice location
1208 Marine Way
Ad2
North Palm Beach, FL 33408-6616
Mailing address
PO Box 32054
Palm Beach Gardens, FL 33420-2054
Phone (561) 307-4978
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 |
|---|---|---|---|
| 16821 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213315200000",
"number": "1801010863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32054",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334202054",
"telephone_number": "561-307-4978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 MARINE WAY",
"address_2": "AD2",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "334086616",
"telephone_number": "561-307-4978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMMON",
"first_name": "BRENDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2008-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "16821",
"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 Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.