Individual provider Active NPI

Sirney Ronal Moya, MA68723

  • Massage Therapist
  • Tampa, FL
National Provider Identifier
1902489602
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA68723 Issued in FL
Practice address
5011 W Hillsborough Ave Ste M
Tampa, FL 33634-5309
Phone
(813) 249-7374
Fax
(813) 249-6969
NPI assigned
Apr 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA68723 FL Primary

Addresses

Primary practice location

5011 W Hillsborough Ave Ste M
Tampa, FL 33634-5309

Mailing address

4401 Leto Lakes Blvd Apt 307
Tampa, FL 33614-3756
Phone (239) 849-9018

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TAMPA Other

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
MA68723FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Flores Medical Center Inc. Single Specialty CurrentSince May 16, 2021 Accepting new patients

Locations

5011 W Hillsborough Ave
Ste M
Tampa, FL 33634
Phone (813) 249-7374

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.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1902489602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 LETO LAKES BLVD APT 307",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143756",
            "telephone_number": "239-849-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 W HILLSBOROUGH AVE STE M",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345309",
            "telephone_number": "813-249-7374",
            "fax_number": "813-249-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYA",
        "first_name": "SIRNEY",
        "middle_name": "RONAL",
        "name_prefix": "Mr.",
        "credential": "MA68723",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA68723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TAMPA",
            "affiliation": "N",
            "endpointDescription": "Flores Medical Center inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "TAMPA",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TAMPA",
            "address_1": "5011 W Hillsborough Ave Ste M",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336345309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.