Individual provider Active NPI

Aimee Powell, LMT

  • Massage Therapist
  • Jacksonville, FL
National Provider Identifier
1114739729
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA101070 Issued in FL
Practice address
13720 Old Saint Augustine Rd Ste 4
Jacksonville, FL 32258-7415
Phone
(904) 268-9100
Fax
(904) 268-9700
NPI assigned
Jan 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 MA101070 FL Primary

Addresses

Primary practice location

13720 Old Saint Augustine Rd Ste 4
Jacksonville, FL 32258-7415

Mailing address

9785 Crosshill Blvd Ste 108
Jacksonville, FL 32222-5889
Phone (904) 268-9100

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
MA101070FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bartram Family Chiropractic Inc CurrentSince Jan 26, 2025 Accepting new patients
Bartram Chiropractic Inc CurrentSince Jan 26, 2025 Accepting new patients

Locations

9785 Crosshill Blvd
Ste 108
Jacksonville, FL 32222
Phone (904) 772-6522

13720 Old St Augustine Rd
Ste 4
Jacksonville, FL 32258
Phone (904) 268-9100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1114739729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9785 CROSSHILL BLVD STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322225889",
            "telephone_number": "904-268-9100",
            "fax_number": "904-268-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 OLD SAINT AUGUSTINE RD STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587415",
            "telephone_number": "904-268-9100",
            "fax_number": "904-268-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "AIMEE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA101070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.