Individual provider Active NPI

Rashard Jennings, MASSAGE THERAPIST

  • Massage Therapist
  • Altamonte Springs, FL
National Provider Identifier
1265046619
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA95607 Issued in FL
Practice address
380 Los Altos Way Apt 103
Altamonte Springs, FL 32714-3290
Phone
(352) 709-0758
NPI assigned
Sep 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 MA95607 FL Primary

Addresses

Primary practice location

380 Los Altos Way Apt 103
Altamonte Springs, FL 32714-3290

Mailing address

380 Los Altos Way Apt 103
Altamonte Springs, FL 32714-3290
Phone (352) 709-0758

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Zeel Health Information Exchange (HIE)
CONNECT URL IPhone

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
MA95607FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1265046619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 LOS ALTOS WAY APT 103",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143290",
            "telephone_number": "352-709-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 LOS ALTOS WAY APT 103",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143290",
            "telephone_number": "352-709-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "RASHARD",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA95607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Zeel",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1885 40th Ave Apt 5",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329600512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "IPhone",
            "affiliation": "N",
            "endpointDescription": "Smart phone app",
            "address_1": "380 Los Altos Way Apt 103",
            "city": "Altamonte Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327143290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

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

Verify at the official NPI Registry.