Massage Trinity Group

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MASSAGE TRINITY GROUP

Practice address

6015 Chester Cir Ste 206
Jacksonville, FL 32217-2273

Phone

(904) 365-8305

Fax

(904) 365-8198

NPI assigned

Jul 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Nicole SmithNPI 1831468586

Title

President/Ceo

Phone

(904) 365-8305

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole D Smith, LMT

  • Massage Therapist
  • Jacksonville, FL
  • NPI 1831468586
  NPD Authorized official
• Shirley W King, MA, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1609511955
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1013755719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 CHESTER CIR STE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172273",
            "telephone_number": "904-412-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 CHESTER CIR STE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172273",
            "telephone_number": "904-365-8305",
            "fax_number": "904-365-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE TRINITY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "904-365-8305",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belgium Lynn Masood, OTD, OTR/L
• Shahla Masood, MD
• Kristen Ashraf Masoudipoya Moore, DMD
• Ghania Masri, M.D.
• Massage in Session, Inc.
• Anthony Massaro, MD, DMD
• Lolita Condino Massengill, NP
• Samantha Jade Massengill
• Bobbie Massey-Hollifield, LCSW
• Angela M Massey, ARNP

• Health Service Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.