Active NPI
Brenda Gale Tucker, LMT
- Mechanotherapist
- Sarasota, FL
National Provider Identifier
1902586704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA20927
- Practice address
- 3148 Southgate Circle
Southgate Massage & Wellness Center
Sarasota, FL 34239 - Phone
- (941) 350-9178
- NPI assigned
- Jul 18, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA20927 | FL | Primary |
Addresses
Primary practice location
3148 Southgate Circle
Southgate Massage & Wellness Center
Sarasota, FL 34239
Mailing address
4001 Beneva Rd
Unit 407
Sarasota, FL 34233
Phone (941) 350-9178
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 |
|---|---|---|---|
| MA20927 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1902586704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 BENEVA RD",
"address_2": "UNIT 407",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34233",
"telephone_number": "941-350-9178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3148 SOUTHGATE CIRCLE",
"address_2": "SOUTHGATE MASSAGE & WELLNESS CENTER",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34239",
"telephone_number": "941-350-9178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "BRENDA",
"middle_name": "GALE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "MA20927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.