Ryan Nyeholt, FAFS CMT CPT GPS

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA100773 Issued in FL

Practice address

6319 Memorial Hwy
Tampa, FL 33615-4537

Phone

(310) 365-6789

NPI assigned

Jul 28, 2021

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

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1871266510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 INNISBROOK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338105736",
            "telephone_number": "310-365-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154537",
            "telephone_number": "310-365-6789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 N Reo St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336091062",
            "country_code": "US",
            "telephone_number": "310-365-6789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6319 Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336154537",
            "country_code": "US",
            "telephone_number": "310-365-6789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYEHOLT",
        "first_name": "RYAN",
        "credential": "FAFS CMT CPT GPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA100773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.