Active NPI
Angelica Inez Jusino
- Massage Therapist
- Orlando, FL
National Provider Identifier
1154928083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA79728
- Practice address
- 514 Hillcrest St Apt B
Orlando, FL 32803-4505 - Phone
- (407) 748-0478
- NPI assigned
- Oct 5, 2020
- 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 | MA79728 | FL | Primary |
Addresses
Primary practice location
514 Hillcrest St Apt B
Orlando, FL 32803-4505
Mailing address
514 Hillcrest St Apt B
Orlando, FL 32803-4505
Phone (407) 748-0478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J250009946640 | Other | FL | DRIVERS LICENSE |
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 |
|---|---|---|---|
| MA79728 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1154928083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 HILLCREST ST APT B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328034505",
"telephone_number": "407-748-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 HILLCREST ST APT B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328034505",
"telephone_number": "407-748-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSINO",
"first_name": "ANGELICA",
"middle_name": "INEZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-05",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA79728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "J250009946640",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.