OrganizationActive
North River Body Therapies
NPI 1083879464 · Massage Therapist · Ellenton, FL
Provider details
- NPI number
- 1083879464
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Nicole Deitrick, Owner/Provider(941) 721-4559
- License
- MA29664 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
905 25th Dr E
Ellenton, FL 34222-2053
Phone: (941) 721-4559
Fax: (941) 721-0142
Street-level locationGet directions
Mailing address
905 25th Dr E
Ellenton, FL 34222-2053
Registry dates
- Enumerated
- 2008-07-24
- Last updated
- 2025-10-16
- Certified
- 2025-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.