MICHAEL T MCNALLY (NPI# 1902937501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902937501 |
| Entity Type | Individual |
| Full Name | MICHAEL T MCNALLY |
| Credential | LMT |
| Practice Address |
1747 Evans Rd 101 Melbourne FL 32904-3869 |
| Practice Telephone | 3217269094 |
| Practice Fax Number | 3217261697 |
| Mailing Telephone | 3217269094 |
| Mailing Fax Number | 3217261697 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA23196 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | MA 23196 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700817699 | Michael James Mcnally | Physical Therapist | 68 Consumer Center Dr, Chillicothe, OH 45601-2667 | 2006-07-06 |
| 1962743419 | Michael John Mcnally | Pharmacist | 1890 Metro Center Dr, Suite 300, Reston, VA 20190-5286 | 2013-03-08 |
| 1184880015 | Michael Mcnally | Dentist | 3100 O St, Suite 4, Lincoln, NE 68510-1532 | 2008-07-30 |
| 1063612323 | Michael Morgan Mcnally | Surgery | 1940 Alcoa Hwy, E120, Knoxville, TN 37920-2244 | 2007-07-24 |
| 1811012156 | Michael William Mcnally | Dentist | 308 E Commercial Ave, Lowell, IN 46356-1708 | 2007-03-19 |
| 1285793711 | Michael Mcnally | Podiatrist | 85 Baribeau Dr, Brunswick, ME 04011-3249 | 2006-12-08 |
| 1538148143 | Michael Patrick Mcnally | Surgery | 8901 Rockville Pike, Department of Surgery, Bethesda, MD 20889-0001 | 2006-01-12 |
| Street Address |
1747 EVANS RD 101 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-3869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881796803 | Mitchell R Greenberg | Chiropractor | 1747 Evans Rd, Suite 101, Melbourne, FL 32904-3869 | 2006-09-01 |
| 1386181634 | Lymuel Jones | Respiratory Therapist, Registered | 1747 Evans Rd, #102, Melbourne, FL 32904-3869 | 2017-01-25 |
| 1588035752 | Louis John Emen | Physical Therapy Assistant | 1747 Evans Rd, Melbourne, FL 32904-3869 | 2015-10-14 |
| 1780778878 | Mitchell R Greenberg, Dc, Inc | Chiropractor | 1747 Evans Rd, 101, Melbourne, FL 32904-3869 | 2006-10-03 |
| 1659464436 | Thomas J Stelter | Chiropractor | 1747 Evans Rd, 101, Melbourne, FL 32904-3869 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| 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 |
|---|---|---|---|---|
| 1376142638 | Yu Tung Wong | Massage Therapist | 2710 Cozumel Dr Apt 1804, Melbourne, FL 32935-8196 | 2020-10-19 |
| 1841805066 | Jamie Brott | Massage Therapist | 3635 Misty Oak Dr Apt 205, Melbourne, FL 32901-8709 | 2020-09-14 |
| 1730662883 | Donna Jo Billie Secura | Massage Therapist | 1738 Bluebird Ct, Melbourne, FL 32935-4550 | 2018-09-13 |
| 1497259618 | Alexis Janeah Mccreary | Massage Therapist | 3020 Bennett Ln Apt 307, Melbourne, FL 32935-2296 | 2018-03-21 |
| 1508263070 | Trisha Schmalhofer | Massage Therapist | 466 N Harbor City Blvd, Melbourne, FL 32935-6858 | 2014-11-29 |
| 1649679127 | Tamara Gale | Massage Therapist | 260 San Paulo Ct, Melbourne, FL 32904-3944 | 2014-08-20 |
| 1588088256 | Temples Holistic Wellness, LLC | Massage Therapist | 2263 W New Haven Ave # 221, Melbourne, FL 32904-3805 | 2014-02-14 |
| 1639412182 | Roy Alexander Llera | Massage Therapist | 18 W Avenue B, Suite 2, Melbourne, FL 32901-1219 | 2013-04-03 |
| 1548547367 | Kenneth Edwin Muck | Massage Therapist | 1490 Avocado Ave, Melbourne, FL 32935-6532 | 2011-11-08 |
| 1043509011 | Gabriele's Therapeutic Massage Inc | Massage Therapist | 3026 Park Village Way, Melbourne, FL 32935-2266 | 2011-03-30 |
| Find all providers in MELBOURNE | ||||
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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.