Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104080357 Individual Practitioner Male Practitioner

Larry Witzleben , LMT

Massage Therapist • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Larry Witzleben, LMT is a registered healthcare professional specializing in Massage Therapist in Orlando, FL. Practice services are available at 631 N HYER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

631 N Hyer Ave

Orlando, FL 328034629

Telephone 4074473469
Associated Practice Facility / Clinic
🏢 Bruce L. Stafford, Pa Facility NPI 1245599661

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Orlando, FL

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

Practicing in Orlando, 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 MA0014390

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Robert Levesque , LCSW

Social Worker - Clinical

NPI 1386614873

Licensed Clinical Social Worker

Ericka Roberts , LMHC

Counselor - Mental Health

NPI 1518829670

Licensed Mental Health Counselor

Joy Moody , MSW

Social Worker

NPI 1700337128

Master of Social Work

Evyn Greenberg , NCC, RMHCI

Counselor - Mental Health

NPI 1700596939

National Certified Counselor, RMHCI

Renee Natvig , LCSW

Social Worker - Clinical

NPI 1780953349

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 16, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2008

Registered at 631 N HYER AVE, ORLANDO, FL 328034629 (Tel: 4074473469)

📍
Updated Business Mailing Address July 16, 2008

Registered at 631 N HYER AVE, ORLANDO, FL 328034629 (Tel: 4074473469)

👤
Provider Name / Credentials Updated July 16, 2008

Recorded as LARRY WITZLEBEN, L.M.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2008

Massage Therapist (License #MA0014390 in FL)

🟢
Initial NPI Registration & Enumeration July 16, 2008

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: 1104080357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2008
Last Update: July 16, 2008
Sole Proprietor: Yes

Mailing Address

631 N Hyer Ave

Orlando, FL 328034629

Phone: 4074473469

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.