Organization Active NPI

Equilibrium Massage Inc.

  • Massage Therapist
  • Saint Petersburg, FL
National Provider Identifier
1972739985
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
EQUILIBRIUM MASSAGE INC.
Practice address
2325 Central Ave
Saint Petersburg, FL 33713-8845
Phone
(727) 565-0915
Fax
(727) 388-1301
NPI assigned
Jun 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Authorized official

Name
Irma Radosavljevic, LMT; CNMTNPI 1326274440
Title
Owner
Phone
(727) 565-0915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2325 Central Ave
Saint Petersburg, FL 33713-8845

Mailing address

2325 Central Ave
Saint Petersburg, FL 33713-8845
Phone (727) 565-0915

Other names 1

  • EQUILIBRIUM NEUROMUSCULAR THRAPY BY ST. JOHN METHOD Doing business as

National Provider Directory

National Provider Directory

Locations

2325 Central Ave
St Petersburg, FL 33713
Phone (727) 251-4743

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1972739985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 CENTRAL AVE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138845",
            "telephone_number": "727-565-0915",
            "fax_number": "727-388-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 CENTRAL AVE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138845",
            "telephone_number": "727-565-0915",
            "fax_number": "727-388-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM MASSAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "RADOSAVLJEVIC",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-565-0915",
        "authorized_official_credential": "LMT; CNMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EQUILIBRIUM NEUROMUSCULAR THRAPY BY ST. JOHN METHOD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.