Emily Dellamico

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

1383 Lyons Rd
Coconut Creek, FL 33063-3908

Phone

(954) 733-3003

NPI assigned

Jul 21, 2020

Last updated

Jul 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1821606278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 N COURSE DR APT 113",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633908",
            "telephone_number": "954-733-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAMICO",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.healersource.com/",
            "affiliation": "N",
            "address_1": "2825 N Course Dr Apt 113",
            "city": "Pompano Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330693044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Massage Therapist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.