Active NPI
Jacques Louis
- Massage Therapist
- Boynton Beach, FL
National Provider Identifier
1043680564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA74611
- Practice address
- 398 N Congress Ave
Suite 385
Boynton Beach, FL 33426-3467 - Phone
- (561) 541-1770
- NPI assigned
- Sep 26, 2015
- Last updated
- Sep 26, 2015
- Sex
- Male
- Sole proprietor
- No
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 | MA74611 | FL | Primary |
Addresses
Primary practice location
398 N Congress Ave
Suite 385
Boynton Beach, FL 33426-3467
Mailing address
2237 White Pine Cir
Apt # D
Greenacres, FL 33415-6043
Phone (561) 541-1770
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 |
|---|---|---|---|
| MA74611 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443225600000",
"number": "1043680564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2237 WHITE PINE CIR",
"address_2": "APT # D",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334156043",
"telephone_number": "561-541-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "398 N CONGRESS AVE",
"address_2": "SUITE 385",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334263467",
"telephone_number": "561-541-1770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUIS",
"first_name": "JACQUES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-26",
"last_updated": "2015-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA74611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.