Active NPI
James P Ballard IV
- Massage Therapist
- Winter Haven, FL
National Provider Identifier
1174427199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61699
- Practice address
- 3466 Evening Star Dr
Winter Haven, FL 33881-8776 - Phone
- (407) 927-2889
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- Sex
- Male
- 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 | MA61699 | FL | Primary |
Addresses
Primary practice location
3466 Evening Star Dr
Winter Haven, FL 33881-8776
Mailing address
3466 Evening Star Dr
Winter Haven, FL 33881-8776
Phone (407) 927-2889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1174427199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3466 EVENING STAR DR",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338818776",
"telephone_number": "407-927-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3466 EVENING STAR DR",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338818776",
"telephone_number": "407-927-2889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "JAMES",
"middle_name": "P",
"name_suffix": "IV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA61699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.