Individual provider Active NPI

Maureen McCarthy Lyda, L.M.T.

  • Massage Therapist
  • Vero Beach, FL
National Provider Identifier
1992934293
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA4835 Issued in FL
Practice address
951 Old Dixie Hwy
A-3
Vero Beach, FL 32960-4311
Phone
(772) 538-3081
NPI assigned
Jul 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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 MA4835 FL Primary

Addresses

Primary practice location

951 Old Dixie Hwy
A-3
Vero Beach, FL 32960-4311

Mailing address

951 Old Dixie Hwy
A-3
Vero Beach, FL 32960-4311
Phone (772) 538-3081

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
MA4835FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1992934293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 OLD DIXIE HWY",
            "address_2": "A-3",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604311",
            "telephone_number": "772-538-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 OLD DIXIE HWY",
            "address_2": "A-3",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604311",
            "telephone_number": "772-538-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDA",
        "first_name": "MAUREEN",
        "middle_name": "MCCARTHY",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA4835",
            "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, 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.