Carol Ann Black, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

903 E Cypress Creek Rd
Ft Lauderdale, FL 33334-4116

Phone

(954) 491-2225

Fax

(954) 491-6862

NPI assigned

Aug 2, 2008

Last updated

Aug 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holistic Massage & Wellness Clinics

  • Massage Therapist
  • Fort Lauderdale, FL
  • NPI 1578694915
  NPD (past)

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

{
    "created_epoch": "1217635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217635200000",
    "number": "1942466537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 S 24TH CT",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205803",
            "telephone_number": "954-696-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 E CYPRESS CREEK RD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333344116",
            "telephone_number": "954-491-2225",
            "fax_number": "954-491-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-02",
        "last_updated": "2008-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "MA33170",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Naomi Biton, LMHC
• BJ's Wholesale Club Inc.
• BJF Enterprises Inc
• Black Bag Corporation (Black Bag Medical Supply)
• Carl Robert Black, PHARMD
• Connor Black, DO
• Carolyn Blackwood Roberts
• Niccole L Blade, CNA
• Michelle Lee Blair, ARNP
• Stefanie Gail Blais, CRNA

• Massage Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2008; 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.