Active NPI
Benjamin Lambert, LMT
- Massage Therapist
- St Augustine, FL
National Provider Identifier
1902273568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA76949
- Practice address
- 2250 Old Moultrie Rd
43
St Augustine, FL 32086-5192 - Phone
- (352) 318-9554
- NPI assigned
- Aug 28, 2015
- 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 | MA76949 | FL | Primary |
Addresses
Primary practice location
2250 Old Moultrie Rd
43
St Augustine, FL 32086-5192
Mailing address
2250 Old Moultrie Rd
43
St Augustine, FL 32086-5192
Phone (352) 318-9554
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 |
|---|---|---|---|
| MA76949 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1902273568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 OLD MOULTRIE RD",
"address_2": "43",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865192",
"telephone_number": "352-318-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 OLD MOULTRIE RD",
"address_2": "43",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865192",
"telephone_number": "352-318-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBERT",
"first_name": "BENJAMIN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA76949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.