Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1033423702 Deactivated / Inactive NPI Male Practitioner

Charles Daniel Beard , LMT

Massage Therapist • Saint Augustine, 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, Charles Beard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 04, 2010
NPI Deactivation Date December 12, 2024
Total Practice Duration ~14 Years of Practice (2010 – 2024)

Professional Overview & Biography Verified Profile Summary

Charles Beard, LMT was a registered Massage Therapist practicing in Saint Augustine, FL. Throughout an active medical career spanning 14 years, Charles Beard provided care at the practice location at 101 WHITEHALL DR until profile deactivation on 2024-12-12.

Practice Location & Contact Primary Location

Practice Address

101 Whitehall Dr
Ste 102

Saint Augustine, FL 320865268

Telephone 9047940909
Fax 9047946700
Associated Practice Facility / Clinic
🏢 Gloria Z. Moore D.c., P.a. Facility NPI 1417196106

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Saint Augustine, FL

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

Practicing in Saint Augustine, 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 MA26047

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

1 Associated Practitioners
NPI 1508814856

Doctor of Chiropractic

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 December 12, 2024

Record deactivated on December 12, 2024

NPI Profile Active August 04, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 04, 2010

Registered at 101 WHITEHALL DR, STE 102, SAINT AUGUSTINE, FL 320865268 (Tel: 9047940909)

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Updated Business Mailing Address August 04, 2010

Registered at 101 WHITEHALL DR, STE 102, SAINT AUGUSTINE, FL 320865268 (Tel: 9047940909)

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Provider Name / Credentials Updated August 04, 2010

Recorded as CHARLES BEARD, LMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2010

Massage Therapist (License #MA26047 in FL)

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Initial NPI Registration & Enumeration August 04, 2010

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: 1033423702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2010
Last Update: August 04, 2010
Deactivation Date: December 12, 2024

Mailing Address

101 Whitehall Dr, Ste 102

Saint Augustine, FL 320865268

Phone: 9047940909

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.