Brent Craig Stubbs, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA30018 Issued in FL

Practice address

521 E College Ave
Tallahassee, FL 32301-2528

Phone

(850) 942-7003

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861533986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 BRAFFORTON DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323110710",
            "telephone_number": "850-942-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E COLLEGE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012528",
            "telephone_number": "850-942-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "BRENT",
        "middle_name": "CRAIG",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA30018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PR",
            "identifier": "C9013",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sofia Victoria Stromak
• Cyneetha A. Strong, M.D.
• Idella Anne Struk, ARNP-C
• Patty A Stuart, LMFT
• Jennifer Sierra Stubbs-Seals
• Sommer D Stubbs
• Kristin Stuchlik, APRN
• Shawn Stumpff, PA-C
• Sarah Sturges, LCSW
• Denver Joe Stutler III, MD

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

• 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.