Active NPI
Renee Escobar, L.M.T.
- Massage Therapist
- Venice, FL
National Provider Identifier
1184963647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA87242
- Practice address
- 1939 S Tamiami TRL
Venice, FL 34293-5004 - Phone
- (253) 686-9708
- NPI assigned
- Feb 4, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00012315 | WA | |
| Massage Therapist | 225700000X | MA87242 | FL | Primary |
Addresses
Primary practice location
1939 S Tamiami TRL
Venice, FL 34293-5004
Mailing address
PO Box 1175
Nokomis, FL 34274-1175
Phone (253) 686-9608
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 |
|---|---|---|---|
| MA87242 | FL | MD | Massage Therapist |
| MA00012315 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1184963647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1175",
"city": "NOKOMIS",
"state": "FL",
"postal_code": "342741175",
"telephone_number": "253-686-9608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 S TAMIAMI TRL",
"city": "VENICE",
"state": "FL",
"postal_code": "342935004",
"telephone_number": "253-686-9708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBAR",
"first_name": "RENEE",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-04",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00012315",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA87242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.