Active NPI
Jacklyn Naranjo
- Massage Therapist
- Harlingen, TX
National Provider Identifier
1194561456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT141213
- Practice address
- 2404 S F St Ste C
Harlingen, TX 78552-7591 - Phone
- (956) 622-3009
- Fax
- (956) 368-5051
- NPI assigned
- Jul 6, 2024
- 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 | MT141213 | TX | Primary |
Addresses
Primary practice location
2404 S F St Ste C
Harlingen, TX 78552-7591
Mailing address
22476 Las Palmas Cir E
Harlingen, TX 78550-4064
Phone (956) 579-7280
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 |
|---|---|---|---|
| MT141213 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reconnection Myofascial Release & Wellness LLC | Massage Therapist | Current | Accepting new patients |
Locations
2404 S F St
Ste C
Harlingen, TX 78552
Phone (956) 622-3009
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.
-
- Massage Therapist
- Harlingen, TX
- NPI 1730727736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720224000000",
"number": "1194561456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22476 LAS PALMAS CIR E",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785504064",
"telephone_number": "956-579-7280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 S F ST STE C",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785527591",
"telephone_number": "956-622-3009",
"fax_number": "956-368-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARANJO",
"first_name": "JACKLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-06",
"last_updated": "2024-07-06",
"certification_date": "2024-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT141213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.