Individual provider Active NPI

Jessica Alayon

  • Massage Therapist
  • Kissimmee, FL
National Provider Identifier
1194413898
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA87812 Issued in FL
Practice address
1060 Cypress Pkwy Ste 104
Kissimmee, FL 34759-3328
Phone
(407) 914-9168
Fax
(407) 337-8005
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA87812 FL Primary

Addresses

Primary practice location

1060 Cypress Pkwy Ste 104
Kissimmee, FL 34759-3328

Mailing address

2717 Eagle Canyon Dr S
Kissimmee, FL 34746-3170
Phone (407) 837-8685

Other practice location 1

395 Village Dr
Kissimmee, FL 34759-4012
Phone (407) 914-9168 ext. 2

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

LicenseStateTypeSpecialty
MA87812FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
C3 Wellness, LLC Massage Therapist CurrentSince Jun 16, 2019 Accepting new patients

Locations

1060 Cypress Pkwy
Ste 104
Kissimmee, FL 34759
Phone 4079149168 ext. 1

395 Village Dr
Poinciana, FL 34759
Phone 4079149168 ext. 2

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1194413898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 EAGLE CANYON DR S",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463170",
            "telephone_number": "407-837-8685",
            "fax_number": "407-337-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CYPRESS PKWY STE 104",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593328",
            "telephone_number": "407-914-9168",
            "fax_number": "407-337-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347594012",
            "country_code": "US",
            "telephone_number": "407-914-9168 x2",
            "fax_number": "863-313-9293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAYON",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA87812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.