Active NPI
Charles Ruben Pillot, L.M.T
- Massage Therapist
- Greenacres, FL
National Provider Identifier
1902002355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA47152
- Practice address
- 6133 Lake Worth Rd
Greenacres, FL 33463-3074 - Phone
- (561) 432-1399
- Fax
- (561) 432-1388
- NPI assigned
- Jun 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | MA47152 | FL | Primary |
Addresses
Primary practice location
6133 Lake Worth Rd
Greenacres, FL 33463-3074
Mailing address
7215 72ND Way
West Palm Beach, FL 33407-6730
Phone (561) 707-8531
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 |
|---|---|---|---|
| MA47152 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Chiropractic of South Florida 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.
-
- Chiropractor
- Lake Worth, FL
- NPI 1245394550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902002355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7215 72ND WAY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334076730",
"telephone_number": "561-707-8531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6133 LAKE WORTH RD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633074",
"telephone_number": "561-432-1399",
"fax_number": "561-432-1388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILLOT",
"first_name": "CHARLES",
"middle_name": "RUBEN",
"name_prefix": "Mr.",
"credential": "L.M.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA47152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.