Organization Active NPI

Infinite Weillness Inc

  • Massage Therapist
  • New Smyrna Beach, FL
National Provider Identifier
1801104294
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA46324 Issued in FL
Legal business name
INFINITE WEILLNESS INC
Practice address
821 Canal St
New Smyrna Beach, FL 32168-6938
Phone
(386) 423-5585
Fax
(386) 409-0205
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Lucy Morrison, LMTNPI 1619986536
Title
President
Phone
(386) 423-5585

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 MA46324 FL Primary

Addresses

Primary practice location

821 Canal St
New Smyrna Beach, FL 32168-6938

Mailing address

821 Canal St
New Smyrna Beach, FL 32168-6938
Phone (386) 423-5585

Other identifiers 1

IdentifierTypeStateIssuer
MA46324OtherFLSTATE OF FLORIDA MASSAGE LICENSE

National Provider Directory

National Provider Directory

Locations

821 Canal St
New Smyrna Beach, FL 32168
Phone (386) 423-5585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1801104294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 CANAL ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686938",
            "telephone_number": "386-423-5585",
            "fax_number": "386-409-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 CANAL ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686938",
            "telephone_number": "386-423-5585",
            "fax_number": "386-409-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE WEILLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-423-5585",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA46324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA MASSAGE LICENSE",
            "identifier": "MA46324",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.