Active NPI
Treisa Palmer, LMT. CCE, CME
- Massage Therapist
- Fort Lauderdale, FL
National Provider Identifier
1215542220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA63179
- Practice address
- 2787 E Oakland Park Blvd Ste 401
Fort Lauderdale, FL 33306-1632 - Phone
- (954) 305-4454
- NPI assigned
- Sep 15, 2020
- Last updated
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | FL | ||
| Massage Therapist | 225700000X | MA63179 | FL | Primary |
Addresses
Primary practice location
2787 E Oakland Park Blvd Ste 401
Fort Lauderdale, FL 33306-1632
Mailing address
2787 E Oakland Park Blvd Ste 401
Fort Lauderdale, FL 33306-1632
Phone (954) 305-4454
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 |
|---|---|---|---|
| MA63179 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rejuvenations on the Go | Massage Therapist | Current | Accepting new patients |
Locations
2787 E Oakland Park Blvd
Ste 401
Fort Lauderdale, FL 33306
Phone (954) 305-4454
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1215542220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2787 E OAKLAND PARK BLVD STE 401",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061632",
"telephone_number": "954-305-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2787 E OAKLAND PARK BLVD STE 401",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061632",
"telephone_number": "954-305-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "TREISA",
"name_prefix": "Mrs.",
"credential": "LMT. CCE, CME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA63179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.