Active NPI
Trina Wise Henkel, LMT
- Massage Therapist
- Fort Pierce, FL
National Provider Identifier
1265699318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA37838
- Practice address
- 1001 W Midway Rd
Fort Pierce, FL 34982-4142 - Phone
- (772) 812-9953
- Fax
- (772) 871-7842
- NPI assigned
- May 16, 2008
- 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 | MA37838 | FL | Primary |
Addresses
Primary practice location
1001 W Midway Rd
Fort Pierce, FL 34982-4142
Mailing address
6800 NW Monoco CT
Port St Lucie, FL 34983-5376
Phone (772) 812-9953
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 |
|---|---|---|---|
| MA37838 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Wise, Inc. | Massage Therapist | Past | Accepting new patients |
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
- Fort Pierce, FL
- NPI 1033368329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1265699318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 NW MONOCO CT",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349835376",
"telephone_number": "772-812-9953",
"fax_number": "772-871-7842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W MIDWAY RD",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349824142",
"telephone_number": "772-812-9953",
"fax_number": "772-871-7842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENKEL",
"first_name": "TRINA",
"middle_name": "WISE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA37838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.