Miracle Pain Relief LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIRACLE PAIN RELIEF LLC

Practice address

234 Willard St Ste C
Cocoa, FL 32922-7984

Phone

(321) 477-2273

NPI assigned

May 30, 2024

Organization subpart

No

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

Authorized official

Name

Jarod Forrest Hunter Hoekstra, LMT

Title

Myofascial Specialist

Phone

(321) 477-2273

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1124868856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 WILLARD ST STE C",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227984",
            "telephone_number": "321-477-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WILLARD ST STE C",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227984",
            "telephone_number": "321-477-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE PAIN RELIEF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "HOEKSTRA",
        "authorized_official_first_name": "JAROD",
        "authorized_official_middle_name": "FORREST HUNTER",
        "authorized_official_title_or_position": "MYOFASCIAL SPECIALIST",
        "authorized_official_telephone_number": "321-477-2273",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Y. Mesa, M.D.
• Mighty Hands Boxing Academy
• Tristam Miles
• Janet Elaine Miley, M.D.
• Derek Milligan
• Lorene Liz Miranda, RBT
• Reginald Darnell Mitchell Jr., LMT
• Derek Mittleider, M.D.
• Vanessa Renee Mixon, AGNP
• Andrea Mize

• Clinic/Center in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.