MRS. SUSAN MARIE DOMFORT (NPI# 1003149709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003149709 |
Entity Type | Individual |
Full Name | MRS. SUSAN MARIE DOMFORT |
Credential | LMT,HMLDT,COTA |
Practice Address |
1328 Se 25th Loop Suite 101 Ocala FL 34471-1026 |
Mailing Address |
663 Se 19th St Ocala FL 34471-5324 |
Practice Telephone | 3528047617 |
Practice Fax Number | 3526226100 |
Mailing Telephone | 3528047617 |
Mailing Fax Number | 3526226100 |
Enumeration Date | 2009-09-12 |
Last Update Date | 2009-09-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA53889 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1328 SE 25TH LOOP SUITE 101 |
City | OCALA |
State | FL |
Zip Code | 34471-1026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538182787 | Maria F Atkinson | Internal Medicine | 1328 Se 25th Loop, Suite 102, Ocala, FL 34471-1026 | 2006-07-26 |
1316303282 | Emilia B Pacariem Md | Obstetrics & Gynecology | 1328 Se 25th Loop, Ste 101, Ocala, FL 34471-1026 | 2016-01-08 |
1255549275 | Vanessa Hunter | Mechanotherapist | 1328 Se 25th Loop, Suite 103, Ocala, FL 34471-1026 | 2007-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
Find all providers in zip 34471 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780281097 | Living Healthy Massage Inc. | Massage Therapist | 6749 Nw 62nd Pl, Ocala, FL 34482-8443 | 2020-10-08 |
1699382382 | Carlos R Ortiz | Massage Therapist | 2600 Sw 10th St Apt 2406, Ocala, FL 34471-8898 | 2020-09-26 |
1801368642 | Joellie Marie Gonseth | Massage Therapist | 307 Ne 12th Ave, Ocala, FL 34470-5911 | 2018-12-18 |
1154890283 | Shaun Howell | Massage Therapist | 3305 Sw 34th Cir Ste 203, Ocala, FL 34474-6606 | 2018-11-19 |
1760985493 | Maureen Zito Whitaker | Massage Therapist | 2605 Ne 3rd St, Ocala, FL 34470-7045 | 2018-03-08 |
1295282945 | Andria Murphy | Massage Therapist | 8146 Fairways Cir, #s201, Ocala, FL 34472-8579 | 2016-09-09 |
1437518594 | Maritza Marcano | Massage Therapist | 518 Clear Rd, Ocala, FL 34472-2312 | 2016-02-17 |
1588021034 | Katy Lamp | Massage Therapist | 8050 Nw 48th Ln, Ocala, FL 34482-2023 | 2016-01-27 |
1932592730 | Totally Awesome Massage & Wellness LLC | Massage Therapist | 2510 Se 17th St, Ocala, FL 34471-5523 | 2015-03-18 |
1851783278 | Derrick Henderson | Massage Therapist | 2801 Sw College Rd Ste 6, Ocala, FL 34474-4430 | 2015-02-22 |
Find all providers in OCALA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.