Active NPI
Laryssa Herbert, LMT
- Massage Therapist
- Largo, FL
National Provider Identifier
1801247499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA78610
- Practice address
- 1260 W Bay Dr Ste a
Largo, FL 33770-2249 - Phone
- (727) 755-7982
- NPI assigned
- Jun 25, 2016
- 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 | MA78610 | FL | Primary |
Addresses
Primary practice location
1260 W Bay Dr Ste a
Largo, FL 33770-2249
Mailing address
14345 90TH Ave
Seminole, FL 33776-1923
Phone (615) 828-3112
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 |
|---|---|---|---|
| MA78610 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1801247499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14345 90TH AVE",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337761923",
"telephone_number": "615-828-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 W BAY DR STE A",
"city": "LARGO",
"state": "FL",
"postal_code": "337702249",
"telephone_number": "727-755-7982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBERT",
"first_name": "LARYSSA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-25",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA78610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.