Organization Active NPI

Absolute Medical Massage of Brevard, LLC

  • Reflexologist
  • Melbourne, FL
National Provider Identifier
1851758338
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
Legal business name
ABSOLUTE MEDICAL MASSAGE OF BREVARD, LLC
Practice address
1220 Prospect Ave
Ste 203
Melbourne, FL 32901-7396
Phone
(321) 591-7672
NPI assigned
Jan 28, 2016
Last updated
Jan 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Laura M Hayes, LMTNPI 1316141427
Title
Owner
Phone
(321) 591-7672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X NU Primary

Addresses

Primary practice location

1220 Prospect Ave
Ste 203
Melbourne, FL 32901-7396

Mailing address

1220 Prospect Ave
Ste 203
Melbourne, FL 32901
Phone (321) 591-7672

National Provider Directory

National Provider Directory

Locations

1220 Prospect Ave
Ste 203
Melbourne, FL 32901
Phone (321) 591-7672

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1851758338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 PROSPECT AVE",
            "address_2": "STE 203",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-591-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 PROSPECT AVE",
            "address_2": "STE 203",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017396",
            "telephone_number": "321-591-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE MEDICAL MASSAGE OF BREVARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-591-7672",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.