THE CENTER FOR MASSAGE THERAPY, COOPER CITY, INC (NPI# 1629353008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629353008 |
| Entity Type | Organization |
| Organization Name | THE CENTER FOR MASSAGE THERAPY, COOPER CITY, INC |
| Other Organization Name | THE CENTER FOR MASSAGE THERAPY, INC |
| Practice Address |
9850 Stirling Rd Suite 102 Hollywood FL 33024-8068 |
| Practice Telephone | 9544341990 |
| Practice Fax Number | 9544334475 |
| Mailing Telephone | 9544341990 |
| Mailing Fax Number | 9544334475 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |
| Authorized Official Name | MR. DENNIS P. FARRETTA (OWNER/LICENSED THERAPIST) |
| Authorized Official Telephone | 9544341990 |
| Authorized Official Credential | L.M.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
MA9569 | FL | Ambulatory Health Care Facilities |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
AP3017 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | L.M.T. | 1154487171 | 01 |
| FL | ACUPUNCTURE | 1609932565 | 01 |
| Other Name | Type Code |
|---|---|
| The Center For Massage Therapy, Inc | Former Legal Business Name - Organization |
| Street Address |
9850 STIRLING RD SUITE 102 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33024-8068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154487171 | Dennis Paul Farretta | Massage Therapist | 9850 Stirling Rd, Suite #102, Hollywood, FL 33024-8068 | 2006-12-28 |
| 1750736245 | The Center for Acupuncture & Natural Healing, Inc | Acupuncturist | 9850 Stirling Rd, Suite 101, Hollywood, FL 33024-8068 | 2016-05-03 |
| 1609932565 | Andrew Ryan Farretta | Acupuncturist | 9850 Stirling Rd, Ste #102, Hollywood, FL 33024-8068 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
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| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1952671414 | Sunny Isles Health Center, Inc. | Clinic/Center | 5100 Hollywood Blvd Ste 3, Hollywood, FL 33021-6538 | 2011-12-30 |
| 1356575245 | Neurobrain Diagnostic, Ltd | Clinic/Center | 3475 Sheridan Street, 215e, Hollywood, FL 33021-3659 | 2009-05-07 |
| 1295935013 | Lake's Medical Office | Clinic/Center | 6260 Johnson St, Hollywood, FL 33024-5932 | 2007-07-19 |
| 1578838728 | United Wellness Center, Inc | Clinic/Center | 6260 Johnson St, Hollywood, FL 33024-5932 | 2012-03-20 |
| 1477723195 | Gamma Healthcare Inc. | Clinic/Center | 4516 Hollywood Blvd, Hollywood, FL 33021-6612 | 2008-03-10 |
| 1770703027 | Continucare Clinics, Inc. | Clinic/Center | At Sedano's Pharmacy, 2323 N. State Road 7, Hollywood, FL 33021 | 2007-04-27 |
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| 1285249987 | Derma Beauty Spa Medical Clinic | Clinic/Center | 1470 Nw 107th Ave Ste M, Sweetwater, FL 33172-2735 | 2020-09-10 |
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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.