GARDNERS MASSAGE THERAPY (NPI# 1093008146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093008146 |
| Entity Type | Organization |
| Organization Name | GARDNERS MASSAGE THERAPY |
| Practice Address |
115a Flagler Blvd St Augustine FL 32080-3795 |
| Practice Telephone | 9044609444 |
| Practice Fax Number | 9044609444 |
| Mailing Telephone | 9044609444 |
| Mailing Fax Number | 9044609444 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |
| Authorized Official Name | MR. CHRISTOPHER B GARDNER (PRESIDENT / OWNER) |
| Authorized Official Telephone | 9044609444 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MM20376 | FL | Other Service Providers |
| Street Address |
115A FLAGLER BLVD |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32080-3795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164715264 | Christopher B Gardner | Massage Therapist | 115a Flagler Blvd, St Augustine, FL 32080-3795 | 2011-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991925 | Healthy Minds Psychological Services, LLC | Psychologist | 825 Kalli Creek Lane, Saint Augustine, FL 32080 | 2020-04-16 |
| 1215456629 | Sidney Leigh Thomas | Specialist/Technologist | 976 Saltwater Circle, St. Augustine, FL 32080 | 2017-09-18 |
| 1285164855 | Mary Patricia Pichan | Speech-Language Pathologist | 2870 Peachtree Rd. #293, Atlanta, GA 32080 | 2017-06-15 |
| 1962947325 | Joseph Costine | Behavior Technician | 205 7th St. Apt.b, St. Augustine, FL 32080 | 2016-12-21 |
| 1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1598037202 | Dana Elizabeth Jones | Occupational Therapist | 3 Hannah Cole Dr., St. Augustine, FL 32080 | 2012-01-27 |
| 1205159423 | Chesapeake Hyperbaric Lc | Clinic/Center | 129 Seagrove Main Street, Unit 202, St. Augustine, FL 32080 | 2010-03-02 |
| 1306176037 | Barros Family Healthcare Pa | Clinic/Center | 1301 Plantation Island Dr. South 102b, St. Augustine, FL 32080 | 2009-12-31 |
| 1609041995 | Tommy D Murphy | Specialist | 403 Anastasia Blvd., St. Augustine, FL 32080 | 2008-04-28 |
| Find all providers in zip 32080 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609158344 | Monica Mcnally | Specialist | 109 Hammock Cir, St Augustine, FL 32084-1754 | 2011-09-19 |
| 1619267671 | Ancient City Children's Therapy, LLC | Specialist | 367 Gianna Way, St Augustine, FL 32086-3858 | 2011-04-12 |
| 1700184892 | Johannie Garcia | Specialist | 910 S. Winterhawk Dr. # 107, St Augustine, FL 32086-3858 | 2011-03-14 |
| 1124291885 | Daniel Aaron Weinberg | Specialist | 200 San Sebastian Vw Ste 2102, St Augustine, FL 32084 | 2008-04-02 |
| 1013187574 | Debbie's Day Spa & Salon | Specialist | 403 Anastasia Blvd, St Augustine, FL 32080-4508 | 2008-03-11 |
| 1386868693 | Edward H Scarpitti | Specialist | 17 St Johns Medical Park Dr., St Augustine, FL 32086-4331 | 2007-04-11 |
| 1295870830 | Paul D Jayachandra M D P A | Specialist | 1680 Osceola Elementary School Road, Suite A, St Augustine, FL 32084 | 2007-02-21 |
| 1285608299 | Daniel A Warner | Specialist | 1100 Plantation Island Dr S Ste 230, St Augustine, FL 32080 | 2006-02-15 |
| 1285613315 | John Edward Prioleau | Specialist | 400 Health Park Blvd Ste 300, St Augustine, FL 32086-5784 | 2006-01-17 |
| 1750382487 | Paul W Hund IIi | Specialist | 1400 Us Highway 1 S, St Augustine, FL 32084-4211 | 2005-08-03 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32080 |
Please comment or provide details below to improve the information on GARDNERS MASSAGE THERAPY.
| 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.