Individual provider Active NPI

Alexandrea S McAllaster, LMT, CHTP

  • Massage Therapist
  • Fort Walton Beach, FL
National Provider Identifier
1881908341
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 59372 Issued in FL
Practice address
90 Beal Pkwy NW
Suite a-1
Fort Walton Beach, FL 32548-4824
Phone
(850) 582-2285
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 59372 FL Primary

Addresses

Primary practice location

90 Beal Pkwy NW
Suite a-1
Fort Walton Beach, FL 32548-4824

Mailing address

90 Beal Pkwy NW
Suite a-1
Fort Walton Beach, FL 32548-4824
Phone (850) 582-2285

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

LicenseStateTypeSpecialty
MA 59372FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1881908341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BEAL PKWY NW",
            "address_2": "SUITE A-1",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484824",
            "telephone_number": "850-582-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BEAL PKWY NW",
            "address_2": "SUITE A-1",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484824",
            "telephone_number": "850-582-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLASTER",
        "first_name": "ALEXANDREA",
        "middle_name": "S",
        "credential": "LMT, CHTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 59372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.