Organization Active NPI

Medical Massage Services Inc of Daytona Beach

  • Massage Therapist
  • Ormond Beach, FL
National Provider Identifier
1811298490
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA18017 Issued in FL
Legal business name
MEDICAL MASSAGE SERVICES INC OF DAYTONA BEACH
Practice address
345 Clyde Morris Blvd
490
Ormond Beach, FL 32174-3111
Phone
(386) 679-7246
NPI assigned
Nov 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Jeffrey M Cullers, DC, LMT
Title
Owner
Phone
(386) 679-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA18017 FL Primary

Addresses

Primary practice location

345 Clyde Morris Blvd
490
Ormond Beach, FL 32174-3111

Mailing address

345 Clyde Morris Blvd
490
Ormond Beach, FL 32174-3111
Phone (386) 679-7246

National Provider Directory

National Provider Directory

Locations

345 Clyde Morris Blvd
Ste 490
Ormond Beach, FL 32174
Phone (386) 672-3933

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1811298490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CLYDE MORRIS BLVD",
            "address_2": "490",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743111",
            "telephone_number": "386-679-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CLYDE MORRIS BLVD",
            "address_2": "490",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743111",
            "telephone_number": "386-679-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MASSAGE SERVICES INC OF DAYTONA BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "CULLERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-679-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA18017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.