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Deactivated NPI 1114106440 Deactivated / Inactive NPI Female Practitioner

Kathy Bansen , LMT

Massage Therapist • Cudjoe Key, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kathy Bansen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 03, 2007
NPI Deactivation Date June 29, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Kathy Bansen, LMT was a registered Massage Therapist practicing in Cudjoe Key, FL. Throughout an active medical career spanning 14 years, Kathy Bansen provided care at the practice location at 22668 OVERSEAS HWY until profile deactivation on 2021-06-29.

Practice Location & Contact Primary Location

Practice Address

22668 Overseas Hwy

Cudjoe Key, FL 330424255

Telephone 3058965221

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Cudjoe Key, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Cudjoe Key, FL (7145 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License FL MA43659

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 29, 2021

Record deactivated on June 29, 2021

NPI Profile Active November 03, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 03, 2007

Registered at 22668 OVERSEAS HWY, CUDJOE KEY, FL 330424255 (Tel: 3058965221)

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Updated Business Mailing Address November 03, 2007

Registered at PO BOX 431477, BIG PINE KEY, FL 330431477 (Tel: 3058965221)

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Provider Name / Credentials Updated November 03, 2007

Recorded as KATHY BANSEN, LMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2007

Massage Therapist (License #MA43659 in FL)

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Initial NPI Registration & Enumeration November 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114106440
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2007
Last Update: November 03, 2007
Deactivation Date: June 29, 2021

Mailing Address

Po Box 431477

Big Pine Key, FL 330431477

Phone: 3058965221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.