International Neuromuscular Therapy I, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MM11141 Issued in FL

Legal business name

INTERNATIONAL NEUROMUSCULAR THERAPY I, INC.

Practice address

201 SE 15TH Ter
Suite 212
Deerfield Beach, FL 33441-4464

Phone

(561) 642-1408

NPI assigned

Jan 26, 2015

Organization subpart

No

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

Authorized official

Name

Ilana Faith Spodak, L.M.T., C.N.M.TNPI 1639203219

Title

Principal

Phone

(561) 642-1408

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Muscular Rehabilitation Center of Florida Doing business as

Locations

Practitioners 1

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

• Ilana Faith Spodak, L.M.T., C.N.M.T.

  • Massage Therapist
  • Deerfield Beach, FL
  • NPI 1639203219
  NPD (past) Authorized official

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1821488057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SE 15TH TER",
            "address_2": "SUITE 212",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414464",
            "telephone_number": "561-642-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SE 15TH TER",
            "address_2": "SUITE 212",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414464",
            "telephone_number": "561-642-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL NEUROMUSCULAR THERAPY I, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "SPODAK",
        "authorized_official_first_name": "ILANA",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "561-642-1408",
        "authorized_official_credential": "L.M.T., C.N.M.T"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM11141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH DIVISION OF QUALITY ASSURANCE",
            "identifier": "MM 11141",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muscular Rehabilitation Center of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Deerfield Beach, FL
• Providers in Deerfield Beach, 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 4, 2015; 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.