Andrea L Malecki, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA58870 Issued in FL

Practice address

3404 S Atlantic Ave
New Smyrna Beach, FL 32169-3626

Phone

(386) 405-4820

NPI assigned

Jan 18, 2011

Sex

Female

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": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1881999159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 HUBBELL ST",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321701",
            "telephone_number": "386-405-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 S ATLANTIC AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321693626",
            "telephone_number": "386-405-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALECKI",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA58870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE # MA58870",
            "identifier": "MA58870",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa F Macdowell, ARNP
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• Kathryn Michelle Malan, M.D.
• Margaret Aldridge Consulting Inc.
• Martin Vasilev Marinov, M.D.
• Mark a Nagrani MD PA
• Mark K Nagrani MD PLLC
• Mark Nagrani, MD Inc

• Massage Therapist in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.