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Deactivated NPI 1477116655 Deactivated / Inactive NPI Female Practitioner

Deborah Ann Carr

Massage Therapist • St 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, Deborah Carr has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 15, 2019
NPI Deactivation Date February 28, 2024
Total Practice Duration ~5 Years of Practice (2019 – 2024)

Professional Overview & Biography Verified Profile Summary

Deborah Carr was a registered Massage Therapist practicing in St Augustine, FL. Throughout an active medical career spanning 5 years, Deborah Carr provided care at the practice location at 2120 US 1 S until profile deactivation on 2024-02-28.

Practice Location & Contact Primary Location

Practice Address

2120 Us 1 S

St Augustine, FL 320864205

Telephone 9048069493

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 14480

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

2 Associated Practitioners
Vivian Juvan , LCSW

Social Worker - Clinical

NPI 1083642300

Licensed Clinical Social Worker

Carol Hooper , LCSW

Social Worker - Clinical

NPI 1104815687

Licensed Clinical Social Worker

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 February 28, 2024

Record deactivated on February 28, 2024

NPI Profile Active April 15, 2019

NPI status registered as active in NPPES database

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Updated Practice Location April 15, 2019

Registered at 2120 US 1 S, ST AUGUSTINE, FL 320864205 (Tel: 9048069493)

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Updated Business Mailing Address April 15, 2019

Registered at 4825 A1A S LOT 32, ST AUGUSTINE, FL 320808054 (Tel: 9048069493)

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Provider Name / Credentials Updated April 15, 2019

Recorded as DEBORAH CARR

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2019

Massage Therapist (License #14480 in FL)

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Initial NPI Registration & Enumeration April 15, 2019

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: 1477116655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2019
Last Update: April 15, 2019
Deactivation Date: February 28, 2024

Mailing Address

4825 A1a S Lot 32

St Augustine, FL 320808054

Phone: 9048069493

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.