Active NPI
Misty Padgett
- Massage Therapist
- Orange Park, FL
National Provider Identifier
1801637822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA97157
- Practice address
- 2233 Park Ave Ste 200B
Orange Park, FL 32073-5567 - Phone
- (904) 375-2308
- Fax
- (888) 701-6588
- NPI assigned
- Jun 4, 2024
- 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 | MA97157 | FL | Primary |
Addresses
Primary practice location
2233 Park Ave Ste 200B
Orange Park, FL 32073-5567
Mailing address
2233 Park Ave Ste 200B
Orange Park, FL 32073-5567
Phone (904) 375-2308
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 |
|---|---|---|---|
| MA97157 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine & Disc Center | Single Specialty | Current | Accepting new patients |
Locations
2233 Park Ave
Ste 200B
Orange Park, FL 32073
Phone (904) 375-2308
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1801637822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 PARK AVE STE 200B",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735567",
"telephone_number": "904-375-2308",
"fax_number": "888-701-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 PARK AVE STE 200B",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735567",
"telephone_number": "904-375-2308",
"fax_number": "888-701-6588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADGETT",
"first_name": "MISTY",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA97157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.