Active NPI
Andrzej Raczynski, LMT
- Massage Therapist
- Panama City, FL
National Provider Identifier
1831262658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA0021573
- Practice address
- 814 Jenks Ave
Panama City, FL 32401 - Phone
- (850) 814-2155
- NPI assigned
- Nov 17, 2006
- 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 | MA0021573 | FL | Primary |
Addresses
Primary practice location
814 Jenks Ave
Panama City, FL 32401
Mailing address
7301 Suwanee Ave
Southport, FL 32409
Phone (850) 814-2155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C7733 | Other | FL | BLUE CROSS PROVIDER |
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 |
|---|---|---|---|
| MA0021573 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831262658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 SUWANEE AVE",
"city": "SOUTHPORT",
"state": "FL",
"postal_code": "32409",
"telephone_number": "850-814-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 JENKS AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32401",
"telephone_number": "850-814-2155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACZYNSKI",
"first_name": "ANDRZEJ",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA0021573",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER",
"identifier": "C7733",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
- Cathy Sue Quinn, LMHC
- R C Nichols Jr MD PA
- R D Smith, Incorporated (Rachael Smith)
- R J Gamad M.D.,P.a. (Rogelio J Gamad M.D.,P.A.)
- Ingrid J Rachesky, M.D.
- Lulie Radford, PT
- Jay Michael Radtke, M.D.
- Christopher L. Raffield, R.PH.
- Debra Kay Raffield, MASSAGE THERAPIST
- Allison Elizabeth Nadeen Ragghianti, M.S.
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.