OrganizationActive
Diversified Therapeutics Inc
NPI 1700027984 · Massage Therapist · Stuart, FL
Provider details
- NPI number
- 1700027984
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Calvin Jackson, President/Licensed Massage Therapis(772) 221-7638
- License
- MA0018459 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(85/100 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
613 Se Central Parkway
Stuart, FL 34994
Phone: (772) 221-7638
Fax: (772) 221-7628
Street-level locationGet directions
Mailing address
613 Se Central Parkway
Stuart, FL 34994
Registry dates
- Enumerated
- 2009-03-17
- Last updated
- 2009-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.