Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124171277 Individual Practitioner Female Practitioner

Carolyn Mudgette , MASSAGE THERAPIST

Massage Therapist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Carolyn Mudgette, MASSAGE THERAPIST is a registered healthcare professional specializing in Massage Therapist in St Augustine, FL. Practice services are available at 2180 A1A S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2180 A1a S
Suite 203

St Augustine, FL 320806591

Telephone 9044615699

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in St Augustine, FL

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

Practicing in St 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 MA23802 MM11941

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

6 Associated Practitioners
Andrea Levinson , MSW

Social Worker - Clinical

NPI 1205835295

Master of Social Work

NPI 1356547251

Master of Science

Felicia Hill

Massage Therapist

NPI 1679404693
Angela Restivo , LMT

Neuromusculoskeletal Medicine, Sports Medicine

NPI 1699284661

Licensed Massage Therapist

Nancy Fergus , LMT

Massage Therapist

NPI 1720129158

Licensed Massage Therapist

Amanda Dale , LMT

Massage Therapist

NPI 1831239805

Licensed Massage Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2180 A1A S, SUITE 203, ST AUGUSTINE, FL 320806591 (Tel: 9044615699)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2180 A1A S, SUITE 203, ST AUGUSTINE, FL 320806591 (Tel: 9044615699)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CAROLYN MUDGETTE, MASSAGE THERAPIST

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

Massage Therapist (License #MA23802 MM11941 in FL)

🟢
Initial NPI Registration & Enumeration January 20, 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: 1124171277
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

2180 A1a S, Suite 203

St Augustine, FL 320806591

Phone: 9044615699

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.