Active NPI
Kendall Brutus
- Massage Therapist
- Tampa, FL
National Provider Identifier
1861714982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 58078
- Practice address
- 4150 N Armenia Ave
Suite 201
Tampa, FL 33607-6448 - Phone
- (813) 443-5116
- Fax
- (813) 374-2125
- NPI assigned
- Feb 16, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 58078 | FL | Primary |
Addresses
Primary practice location
4150 N Armenia Ave
Suite 201
Tampa, FL 33607-6448
Mailing address
32352 Fish Hook Loop
Wesley Chapel, FL 33545-1636
Phone (813) 395-6695
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 |
|---|---|---|---|
| 58078 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Medical Therapy Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Tampa, FL
- NPI 1689800914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1861714982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32352 FISH HOOK LOOP",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335451636",
"telephone_number": "813-395-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 N ARMENIA AVE",
"address_2": "SUITE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076448",
"telephone_number": "813-443-5116",
"fax_number": "813-374-2125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUTUS",
"first_name": "KENDALL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-16",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "58078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.