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Deactivated NPI 1225241698 Deactivated / Inactive NPI Male Practitioner

Stephen Koklas , LMT

Massage Therapist • Pace, 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, Stephen Koklas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 08, 2007
NPI Deactivation Date March 15, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Stephen Koklas, LMT was a registered Massage Therapist practicing in Pace, FL. Throughout an active medical career spanning 16 years, Stephen Koklas provided care at the practice location at 5241 EMERALD DR until profile deactivation on 2023-03-15.

Practice Location & Contact Primary Location

Practice Address

5241 Emerald Dr

Pace, FL 325719068

Telephone 8507480774
Fax 8504841864

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Pace, FL

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

Practicing in Pace, 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 MA40678

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 March 15, 2023

Record deactivated on March 15, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5241 EMERALD DR, PACE, FL 325719068 (Tel: 8507480774)

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Updated Business Mailing Address July 08, 2007

Registered at 5241 EMERALD DR, PACE, FL 325719068 (Tel: 8507480774)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN KOKLAS, LMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Massage Therapist (License #MA40678 in FL)

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Initial NPI Registration & Enumeration May 08, 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: 1225241698
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2007
Last Update: July 08, 2007
Deactivation Date: March 15, 2023

Mailing Address

5241 Emerald Dr

Pace, FL 325719068

Phone: 8507480774

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.