Xuong Vong, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA-61943 Issued in FL

Practice address

9301 Summit Centre Way
Maitland, FL 32810

Phone

(407) 698-5511

NPI assigned

Apr 6, 2016

Last updated

Oct 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1881058998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 W CONCORD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051114",
            "telephone_number": "407-698-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 SUMMIT CENTRE WAY",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32810",
            "telephone_number": "407-698-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONG",
        "first_name": "XUONG",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT 14537",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA-61943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vision Source Maitland, LLC (Vision Source)
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• Vivant Venture I LLC (Vivant at Versailles)
• Volusia Endodontics-Maitland
• Vincenzo Vurro, M.A., CCC/SLP
• Susan Wachter, MA, LMHC, NCC
• Jessica Wagman, ARNP
• Elisabeth Wagner
• Heather Walders

• Massage Therapist in Maitland, FL
• Providers in Maitland, 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 1, 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.