Active NPI
Josh Brannon, LMT
- Massage Therapist
- Panama City, FL
National Provider Identifier
1811540164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA81328
- Practice address
- 25 Harrison Ave
Panama City, FL 32401-2723 - Phone
- (850) 257-5420
- NPI assigned
- Jul 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | |||
| Massage Therapist | 225700000X | MA81328 | FL | Primary |
Addresses
Primary practice location
25 Harrison Ave
Panama City, FL 32401-2723
Mailing address
1110 Magnolia Ave
Panama City, FL 32401-2815
Phone (850) 832-3959
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 |
|---|---|---|---|
| MA81328 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity South LLC | Single Specialty | Current | Accepting new patients |
Locations
25 Harrison Ave
Panama City, FL 32401
Phone (850) 257-5420
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": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1811540164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 MAGNOLIA AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324012815",
"telephone_number": "850-832-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HARRISON AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324012723",
"telephone_number": "850-257-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNON",
"first_name": "JOSH",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-16",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA81328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.