Individual provider Active NPI

Doreen M Stone-Richardson, MASSAGE THERAPIST

  • Massage Therapist
  • Coconut Creek, FL
National Provider Identifier
1942700950
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
19453 Issued in FL
Practice address
4800 W Hillsboro Blvd Ste A11
Coconut Creek, FL 33073-4370
Phone
(954) 427-8898
Fax
(954) 429-8954
NPI assigned
Feb 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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 19453 FL Primary

Addresses

Primary practice location

4800 W Hillsboro Blvd Ste A11
Coconut Creek, FL 33073-4370

Mailing address

1194 SW 44TH Ave
Deerfield Beach, FL 33442-8268
Phone (954) 427-8898

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
19453FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
DMR Therapeutics, Inc Massage Therapist Past Accepting new patients

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": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1942700950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1194 SW 44TH AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428268",
            "telephone_number": "954-427-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W HILLSBORO BLVD STE A11",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734370",
            "telephone_number": "954-427-8898",
            "fax_number": "954-429-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE-RICHARDSON",
        "first_name": "DOREEN",
        "middle_name": "M",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "19453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.