Five Points Therapeutic Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA53901 Issued in FL

Legal business name

FIVE POINTS THERAPEUTIC MASSAGE

Doing business as

Five Points Therapeutic Massage

Practice address

1012 Margaret St Ste 102
Jacksonville, FL 32204-3737

Phone

(904) 235-8104

NPI assigned

Oct 6, 2017

Organization subpart

No

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

Authorized official

Name

Dara Lizabeth Granados, LMTNPI 1790223899

Title

Owner

Phone

(904) 235-8104

Specialties & licenses 1

Addresses

Other names 1

• Five Points Therapeutic Massage Doing business as

Locations

Practitioners 1

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

• Dara Granados, LMT

  • Massage Therapist
  • Jacksonville, FL
  • NPI 1790223899
  NPD (past) Authorized official

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1114437944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 BRIAN LAKES DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322212836",
            "telephone_number": "904-235-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MARGARET ST STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043737",
            "telephone_number": "904-235-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE POINTS THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "GRANADOS",
        "authorized_official_first_name": "DARA",
        "authorized_official_middle_name": "LIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-235-8104",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA53901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Points Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.