MASSAGE THERAPY SERVICES (NPI# 1386912707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386912707 |
| Entity Type | Organization |
| Organization Name | MASSAGE THERAPY SERVICES |
| Practice Address |
290 Clyde Morris Blvd Ormond Beach FL 32174-8130 |
| Mailing Address |
Po Box 730354 Ormond Beach FL 32173-0354 |
| Practice Telephone | 3862587900 |
| Practice Fax Number | 3868980459 |
| Mailing Telephone | 3862587900 |
| Mailing Fax Number | 3868980459 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | MR. THOMAS JOSEPH FASONE (OWNER) |
| Authorized Official Telephone | 3862587900 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA-14579 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | C-5306 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MASSAGE THERAPY SERVICES, INC. | 9105 38th St Ct E, Edgewood, WA 98371-2223 |
| Street Address |
290 CLYDE MORRIS BLVD |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-8130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708580 | Davis Diagnostics LLC | Clinic/Center | 290 Clyde Morris Blvd, Ste C1, Ormond Beach, FL 32174-8204 | 2005-05-27 |
| 1740673425 | Pablo Garcia Jr Md | Clinic/Center | 290 Clyde Morris Blvd, Suite A-1, Ormond Beach, FL 32174-8130 | 2015-03-05 |
| 1962812099 | Kerry A Crandall,arnp | Skilled Nursing Facility | 290 Clyde Morris Blvd, Ormond Beach, FL 32174-8130 | 2014-04-29 |
| 1275950081 | John Snowden | Physical Therapy Assistant | 290 Clyde Morris Blvd, Suite B-2, Ormond Beach, FL 32174-8130 | 2014-03-19 |
| 1124445861 | Camila Perez-albert | Physical Therapist | 290 Clyde Morris Blvd, Suite B2, Ormond Beach, FL 32174-8130 | 2014-03-19 |
| 1407271380 | John Korfant | Physical Therapy Assistant | 290 Clyde Morris Blvd, Ormond Beach, FL 32174-8130 | 2014-02-28 |
| 1134497555 | Thomas Joseph Fasone | Specialist | 290 Clyde Morris Blvd, Suite B-2, Ormond Beach, FL 32174-8130 | 2011-12-13 |
| 1942435920 | Sandford H Kinne IIi D O P A | Family Medicine | 290 Clyde Morris Blvd, Suite A-1, Ormond Beach, FL 32174-8130 | 2009-05-20 |
| 1821236712 | A1 Imaging Centers LLC | Clinic/Center | 290 Clyde Morris Blvd, Suite C-1, Ormond Beach, FL 32174-8130 | 2009-01-30 |
| 1578701876 | Donna B Davenport | Nurse Practitioner | 290 Clyde Morris Blvd, Suite D-2, Ormond Beach, FL 32174-8130 | 2009-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| 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 |
|---|---|---|---|---|
| 1023397643 | Vanessa Ann Mitchell | Specialist | 115 E Granada Blvd Ste 9&10, Ormond Beach, FL 32176-6680 | 2011-08-13 |
| 1093026965 | Jaideep Hoskote Md Pa | Specialist | 4 Brook Crest Way, Ormond Beach, FL 32174-1841 | 2010-06-25 |
| 1841527850 | Eleanor Miles | Specialist | 555 W Granada Blvd Ste D6, Ormond Beach, FL 32174-5196 | 2009-11-11 |
| 1912230798 | Jacqueline Marie Green | Specialist | 37 Sandpiper Cir, Ormond Beach, FL 32174-6042 | 2009-09-11 |
| 1932371598 | Volusia & Flagler Ob-gyn Pa | Specialist | 598 Sterthaus Ave Ste C, Ormond Beach, FL 32174-5128 | 2008-03-24 |
| 1609064336 | Rebecca Anne Arthur | Specialist | 53 N Old Kings Rd, Ste. C, Ormond Beach, FL 32174-9519 | 2007-10-09 |
| 1083805188 | A Healthy Place Pa | Specialist | 55 N Old Kings Rd, Suite A, Ormond Beach, FL 32174-9506 | 2007-08-05 |
| 1235347766 | Denise D Beitel | Specialist | 170 S Yonge St, Ste. A, Ormond Beach, FL 32174-6286 | 2007-05-18 |
| 1568586907 | Hansa M Parikh | Specialist | 598 Sterthaus Ave, Suite C, Ormond Beach, FL 32174-5128 | 2007-03-19 |
| 1265456594 | Mark James Bigelow | Specialist | 763 Riverside Dr, Ormond Beach, FL 32176-7878 | 2006-07-27 |
| Find all providers in ORMOND BEACH | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
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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.