Organization Active NPI

Body, Mind & Soul, LLC

Doing business as Anne Penman Laser Therapy Ocala Gainesvill

  • Massage Therapist
  • Ocala, FL
National Provider Identifier
1902135122
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA53788 Issued in FL
Legal business name
BODY, MIND & SOUL, LLC
Doing business as
Anne Penman Laser Therapy Ocala Gainesvill
Practice address
6701 SW Highway 200 Ste 3
Ocala, FL 34476-7724
Phone
(352) 620-5944
NPI assigned
Dec 17, 2009
Last updated
Dec 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Martha Isabel Meredith, LMT
Title
Owner
Phone
(352) 620-5944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA53788 FL Primary

Addresses

Primary practice location

6701 SW Highway 200 Ste 3
Ocala, FL 34476-7724

Mailing address

PO Box 773001
Ocala, FL 34477-3001
Phone (352) 620-5944

Other names 1

  • Anne Penman Laser Therapy Ocala Gainesvill Doing business as

National Provider Directory

National Provider Directory

Locations

6701 SW Highway 200
Ste 3
Ocala, FL 34476
Phone (352) 620-5944

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1902135122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773001",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344773001",
            "telephone_number": "352-620-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 SW HIGHWAY 200 STE 3",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344767724",
            "telephone_number": "352-620-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY, MIND & SOUL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-620-5944",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA53788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anne Penman Laser Therapy Ocala Gainesvill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.