CMS-1500 Box 24J / 33a • NPI
1972509123
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
225700000X
Licensed & Credentialed Massage Therapist
Box 32 Service Location & ZIP+4
3244 TEALWOOD TER, DELTONA, FL, 32725-3072
✓ 9-Digit EDI 837 ZIP+4 (32725-3072)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1972509123 (ADVANTAGE WELLCARE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1972509123 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANTAGE WELLCARE |
| Plain-English Specialty | Licensed & Credentialed Massage Therapist NUCC Code: 225700000X (Massage Therapist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3244 TEALWOOD TER, DELTONA, FL, 32725-3072 |
| Practice Telephone / Fax | Tel: (386) 846-1419 |
| Administrative Mailing Address | 3244 TEALWOOD TER, DELTONA, FL, 32725-3072 |
| Enumeration & Last Sync | Enumerated: 2005-06-22 | CMS Record Updated: 2008-06-16 |
| Authorized Official | ANDREA KINNEY (Owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (225700000X)
What Does Taxonomy Code 225700000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225700000X translates to:
"Licensed & Credentialed Massage Therapist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANTAGE WELLCARE)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225700000X — Massage TherapistPlain English: Licensed & Credentialed Massage Therapist | State: FL | License: MA42601 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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