Individual provider Active NPI

Morakort Maxwell-Roebuck

  • Massage Therapist
  • Valparaiso, FL
National Provider Identifier
1912835513
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA83182 Issued in FL
Practice address
428 Edge Ave
Valparaiso, FL 32580-1090
Phone
(850) 695-9332
NPI assigned
May 12, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA83182 FL Primary

Addresses

Primary practice location

428 Edge Ave
Valparaiso, FL 32580-1090

Mailing address

428 Edge Ave
Valparaiso, FL 32580-1090
Phone (850) 695-9332

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
MA83182FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1912835513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 EDGE AVE",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801090",
            "telephone_number": "850-695-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 EDGE AVE",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801090",
            "telephone_number": "850-695-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL-ROEBUCK",
        "first_name": "MORAKORT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA83182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.