Individual provider Active NPI

Joan Kniseley, LMT

  • Massage Therapist
  • Gainesville, FL
National Provider Identifier
1285059105
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA41047 Issued in FL
Practice address
2727 NW 43Rd St
Suite 8B
Gainesville, FL 32606-6632
Phone
(386) 853-0162
NPI assigned
Feb 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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 MA41047 FL Primary

Addresses

Primary practice location

2727 NW 43Rd St
Suite 8B
Gainesville, FL 32606-6632

Mailing address

2727 NW 43Rd St
Suite 8B
Gainesville, FL 32606-6632
Phone (386) 853-0162

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
MA41047FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1285059105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 NW 43RD ST",
            "address_2": "SUITE 8B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066632",
            "telephone_number": "386-853-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 NW 43RD ST",
            "address_2": "SUITE 8B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066632",
            "telephone_number": "386-853-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNISELEY",
        "first_name": "JOAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA41047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.