Unknown Individual – Massage Therapist, NPI 1104872340

Unknown Individual is a healthcare provider. based in New port richey, Florida. specializing in Massage Therapist. They hold a License No. MA30424 (FL). The NPI Number for Unknown Individual is 1104872340

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104872340
Phone
(727) 845-0958
Address
5914 MAKI LANE
Deactivation Date
31 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5914, Maki Lane, New Port Richey, Pasco County, Florida, 34653, United States

    NEW PORT RICHEY, FL 34653

    Phone: (727) 845-0958

    Fax: (727) 845-0958

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34653)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1104872340 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Massage Therapist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface New Port Richey, Florida for Unknown Individual based on available NPPES addresses.
What if New Port Richey, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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