Asnmassage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ASNMASSAGE LLC

Practice address

11602 Lake Underhill Rd Ste 135
Orlando, FL 32825-4461

Phone

(321) 512-1320

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Alicia Samuel-Ninou, LMTNPI 1619429172

Title

President

Phone

(321) 512-1320

Specialties & licenses 1

Addresses

Other names 1

• ASNMassage Doing business as

Locations

Practitioners 1

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

• Alicia Samuel-Ninou, B.S., M.M.P

  • Massage Therapist
  • Orlando, FL
  • NPI 1619429172
  NPD Authorized official

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1861034639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5278 WHITSTABLE WAY APT 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127028",
            "telephone_number": "321-512-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 LAKE UNDERHILL RD STE 135",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254461",
            "telephone_number": "321-512-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASNMASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "SAMUEL-NINOU",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-512-1320",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASNMassage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.