Individual provider Active NPI

Evonne C Woycitzky

  • Massage Therapist
  • Pensacola, FL
National Provider Identifier
1962015198
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA82429 Issued in FL
Practice address
426 Tree Swallow Dr
Pensacola, FL 32503-9000
Phone
(831) 601-0251
NPI assigned
Aug 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 96763 CA
Massage Therapist 225700000X MA82429 FL Primary

Addresses

Primary practice location

426 Tree Swallow Dr
Pensacola, FL 32503-9000

Mailing address

426 Tree Swallow Dr
Pensacola, FL 32503-9000
Phone (831) 601-0251

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
96763CAMDMassage Therapist
MA82429FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1962015198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 TREE SWALLOW DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325039000",
            "telephone_number": "831-601-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 TREE SWALLOW DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325039000",
            "telephone_number": "831-601-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOYCITZKY",
        "first_name": "EVONNE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "96763",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA82429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.