Individual provider Active NPI

Phyllis Karvetsky, LMT

  • Massage Therapist
  • Vero Beach, FL
National Provider Identifier
1831229087
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA48636 Issued in FL
Practice address
777 37TH St
B106
Vero Beach, FL 32960-4873
Phone
(772) 299-4325
Fax
(772) 998-7997
NPI assigned
Mar 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA48636 FL Primary

Addresses

Primary practice location

777 37TH St
B106
Vero Beach, FL 32960-4873

Mailing address

919 Dolphin Ave
Sebastian, FL 32958-5119
Phone (772) 388-5652

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

LicenseStateTypeSpecialty
MA48636FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831229087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 DOLPHIN AVE",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329585119",
            "telephone_number": "772-388-5652",
            "fax_number": "772-998-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 37TH ST",
            "address_2": "B106",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604873",
            "telephone_number": "772-299-4325",
            "fax_number": "772-998-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARVETSKY",
        "first_name": "PHYLLIS",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA48636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.