Active NPI
Jenny Sposito, LMT
- Massage Therapist
- Boca Raton, FL
National Provider Identifier
1104090299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 51106
- Practice address
- 6018 SW 18TH St
Suite C10
Boca Raton, FL 33433-7199 - Phone
- (561) 416-2529
- NPI assigned
- Apr 18, 2008
- 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 | 51106 | FL | Primary |
Addresses
Primary practice location
6018 SW 18TH St
Suite C10
Boca Raton, FL 33433-7199
Mailing address
6018 SW 18TH St
Suite C10
Boca Raton, FL 33433-7199
Phone (561) 416-2529
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 |
|---|---|---|---|
| 51106 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Protherapy Health & Wellness Center | Massage Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Massage Therapist
- Boca Raton, FL
- NPI 1487828844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1104090299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6018 SW 18TH ST",
"address_2": "SUITE C10",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334337199",
"telephone_number": "561-416-2529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6018 SW 18TH ST",
"address_2": "SUITE C10",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334337199",
"telephone_number": "561-416-2529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOSITO",
"first_name": "JENNY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-18",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "51106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.