Active NPI
Jillian Nichole Shilling, LMT
- Massage Therapist
- Winter Park, FL
National Provider Identifier
1124209770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA47725
- Practice address
- 1936 Lee Road
Ste 137
Winter Park, FL 32789 - Phone
- (407) 644-3737
- Fax
- (407) 644-3009
- NPI assigned
- Nov 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 | MA47725 | FL | Primary |
Addresses
Primary practice location
1936 Lee Road
Ste 137
Winter Park, FL 32789
Mailing address
1701 Lee Road
Apt J340
Winter Park, FL 32789
Phone (407) 740-0316
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 |
|---|---|---|---|
| MA47725 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195776000000",
"number": "1124209770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 LEE ROAD",
"address_2": "APT J340",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-740-0316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 LEE ROAD",
"address_2": "STE 137",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-644-3737",
"fax_number": "407-644-3009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHILLING",
"first_name": "JILLIAN",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-23",
"last_updated": "2007-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA47725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.