Active NPI
Jan Elana Klingensmith, LMT
- Massage Therapist
- Sarasota, FL
National Provider Identifier
1093336042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 82400
- Practice address
- 6533 Superior Ave
Sarasota, FL 34231-5835 - Phone
- (941) 301-7720
- NPI assigned
- Apr 30, 2020
- 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 | 82400 | FL | Primary |
Addresses
Primary practice location
6533 Superior Ave
Sarasota, FL 34231-5835
Mailing address
2757 Mall Dr Apt 308
Sarasota, FL 34231-5952
Phone (941) 301-7720
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 |
|---|---|---|---|
| 82400 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1093336042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2757 MALL DR APT 308",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342315952",
"telephone_number": "941-301-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6533 SUPERIOR AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342315835",
"telephone_number": "941-301-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINGENSMITH",
"first_name": "JAN",
"middle_name": "ELANA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-30",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "82400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.