Massage by Micah LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MASSAGE BY MICAH LLC

Practice address

913 Gulf Breeze Pkwy Ste 36
Gulf Breeze, FL 32561-4729

Phone

(850) 449-5631

NPI assigned

Sep 9, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Micah BaldwinNPI 1134723901

Title

Owner

Phone

(850) 449-5631

Specialties & licenses 1

Addresses

Practitioners 1

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

• Micah Baldwin, LMT

  • Massage Therapist
  • Pensacola, FL
  • NPI 1134723901
  NPD Authorized official

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1821767153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 ROBLE LOMA DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325262250",
            "telephone_number": "850-449-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 GULF BREEZE PKWY STE 36",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614729",
            "telephone_number": "850-449-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE BY MICAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-449-5631",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.