Individual provider Active NPI

Jaime M Minguez, LMT

  • Massage Therapist
  • Rochester, NY
National Provider Identifier
1073147955
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
031689 Issued in NY
Practice address
144 Metro Park
Rochester, NY 14623-2653
Phone
(585) 671-9210
NPI assigned
Feb 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 031689 NY Primary

Addresses

Primary practice location

144 Metro Park
Rochester, NY 14623-2653

Mailing address

268 Wildbriar Rd
Rochester, NY 14623-3952
Phone (585) 319-6770

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

LicenseStateTypeSpecialty
031689NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Odell Family Chiropractic PC CurrentSince Feb 8, 2023 Accepting new patients

Locations

144 Metro Park
Rochester, NY 14623
Phone (585) 671-9210

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1073147955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 WILDBRIAR RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233952",
            "telephone_number": "585-319-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 METRO PARK",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232653",
            "telephone_number": "585-671-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGUEZ",
        "first_name": "JAIME",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "031689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.