DERRICK MICHAEL BRANTLEY LMT
NPI 1477006195
Massage Therapist in Orange City, FL

Q: What is Derrick Brantley's NPI number?

The NPI number for Derrick Brantley is 1477006195. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Q: What is Derrick Brantley's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Derrick Brantley was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2016

572 HAMILTON AVE, ORANGE CITY, FL 32763(386) 801-0642 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Derrick Michael Brantley Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK MICHAEL BRANTLEY LMT (NPI 1477006195) is an individual massage therapist in Orange City, Florida, licensed in Florida (79136) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1477006195

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameDERRICK MICHAEL BRANTLEYCredential: LMT

Location Address572 HAMILTON AVEOrange City, FL 32763-4610

Mailing Address572 Hamilton AveOrange City, FL 32763-4610 · (386) 801-0642

Phone(386) 801-0642

Sole ProprietorYes

Enumeration DateJuly 28, 2016

✔ NPI 1477006195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in FL · 79136

Definition

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.

572 HAMILTON AVE, Orange City, FL 32763

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Brantley's NPI number?

The NPI number for Derrick Brantley is 1477006195. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Where is Derrick Brantley located?

Derrick Brantley practices at 572 Hamilton Ave, Orange City, FL 32763. The listed phone number is (386) 801-0642.

What is Derrick Brantley's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Derrick Brantley was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.