Active NPI
Jennifer Fogel-Wartel, LMT
- Massage Therapist
- Davie, FL
National Provider Identifier
1013412667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 46725
- Practice address
- 10400 Griffin Rd Ste 204
Davie, FL 33328-3321 - Phone
- (954) 680-5500
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 46725 | FL | Primary |
Addresses
Primary practice location
10400 Griffin Rd Ste 204
Davie, FL 33328-3321
Mailing address
3180 NW 98TH Ave
Sunrise, FL 33351-7018
Phone (954) 746-5183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46725 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Healing | Single Specialty | Past | Accepting new patients |
| Peach Blossom Acupuncture Inc | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1013412667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 NW 98TH AVE",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333517018",
"telephone_number": "954-746-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 GRIFFIN RD STE 204",
"city": "DAVIE",
"state": "FL",
"postal_code": "333283321",
"telephone_number": "954-680-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGEL-WARTEL",
"first_name": "JENNIFER",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "46725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.