Restore Massage Therapy LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

RESTORE MASSAGE THERAPY LLC

Practice address

1222 SE 47TH St Ste 110
Cape Coral, FL 33904-9602

Phone

(239) 265-4727

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Johanna A BeatyNPI 1538799259

Title

Owner

Phone

(239) 265-4727

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Johanna A Beaty, LMT

  • Massage Therapist
  • Cape Coral, FL
  • NPI 1538799259
  NPD Authorized official

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1811528821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 SE 47TH ST STE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049602",
            "telephone_number": "239-265-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 SE 47TH ST STE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049602",
            "telephone_number": "239-265-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MASSAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-265-4727"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE ESTABLISHMENT",
            "identifier": "MM36953",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.