Active NPI
Richard Eugene Boyett
- Massage Therapist
- Boynton Beach, FL
National Provider Identifier
1821448481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA75468
- Practice address
- 220 N Congress Ave
Suite 206
Boynton Beach, FL 33426-4284 - Phone
- (618) 407-6419
- NPI assigned
- Jun 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA75468 | FL | Primary |
Addresses
Primary practice location
220 N Congress Ave
Suite 206
Boynton Beach, FL 33426-4284
Mailing address
1108 Mahogany Dr
Boynton Beach, FL 33436-2163
Phone (618) 407-6419
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 |
|---|---|---|---|
| MA75468 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1821448481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 MAHOGANY DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334362163",
"telephone_number": "618-407-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N CONGRESS AVE",
"address_2": "SUITE 206",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334264284",
"telephone_number": "618-407-6419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYETT",
"first_name": "RICHARD",
"middle_name": "EUGENE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA75468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.