Jana Benicka, MS, LMT, CMMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MO5655 Issued in MD

Practice address

15717 Crabbs Branch Way # 227
Rockville, MD 20855-6650

Phone

(205) 336-1115

NPI assigned

Sep 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1235780768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GREAT PINES CT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503147",
            "telephone_number": "240-264-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15717 CRABBS BRANCH WAY # 227",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208556650",
            "telephone_number": "205-336-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENICKA",
        "first_name": "JANA",
        "credential": "MS, LMT, CMMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "MO5655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "jana@benicka-massage.com",
            "affiliation": "N",
            "endpointDescription": "encrypted  Microsoft Word documents",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15717 Crabbs Branch Way # 227",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208556650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Benes, PT
• Tayra Benfica
• Crystal Bengcion
• Rona Benhorin, PH.D.
• Shira Benhorin, PH.D.
• Daniela Benitez
• Herson Benitez
• Justin Benitez
• Brynae Benjamin
• Katrina Benjamin

• Massage Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.