Individual provider Active NPI

Richard Corbin Pinches, LMT

  • Massage Therapist
  • Vero Beach, FL
National Provider Identifier
1992864318
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 47001 Issued in FL
Practice address
1902 14TH Ave
Vero Beach, FL 32960-3507
Phone
(772) 564-6170
Fax
(772) 564-6172
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA 47001 FL Primary

Addresses

Primary practice location

1902 14TH Ave
Vero Beach, FL 32960-3507

Mailing address

1640 4TH PL
Vero Beach, FL 32962-2180
Phone (772) 766-0960

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
MA 47001FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992864318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 4TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329622180",
            "telephone_number": "772-766-0960",
            "fax_number": "772-564-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 14TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603507",
            "telephone_number": "772-564-6170",
            "fax_number": "772-564-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCHES",
        "first_name": "RICHARD",
        "middle_name": "CORBIN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 47001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.