Individual provider Active NPI

Jaylen Earnest Toliver

  • Massage Therapist
  • Pembroke Pines, FL
National Provider Identifier
1245151174
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA109252 Issued in FL
Practice address
1265 SW 101St Ter Apt 210
Pembroke Pines, FL 33025-5049
Phone
(954) 997-8113
NPI assigned
Jul 24, 2026
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 MA109252 FL Primary

Addresses

Primary practice location

1265 SW 101St Ter Apt 210
Pembroke Pines, FL 33025-5049

Mailing address

5306 Plunkett St
Hollywood, FL 33021-8024

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

NPI Registry JSON

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

{
    "created_epoch": "1784851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1245151174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 PLUNKETT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 SW 101ST TER APT 210",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255049",
            "telephone_number": "954-997-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLIVER",
        "first_name": "JAYLEN",
        "middle_name": "EARNEST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA109252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

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

Verify at the official NPI Registry.