Active NPI
Taraneh Rezaei Escobar
- Massage Therapist
- Ft Lauderdale, FL
National Provider Identifier
1295994267
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 19, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MLTMA41771
- Practice address
- 3007 W Commercial Blvd
Suite 203
Ft Lauderdale, FL 33309 - Phone
- (954) 663-6079
- Fax
- (954) 717-0691
- NPI assigned
- Jun 5, 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 | MLTMA41771 | FL | Primary |
Addresses
Primary practice location
3007 W Commercial Blvd
Suite 203
Ft Lauderdale, FL 33309
Mailing address
3007 W Commercial Blvd
Suite 203
Ft Lauderdale, FL 33309
Phone (954) 663-6079
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MLTMA41771 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1295994267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3007 W COMMERCIAL BLVD",
"address_2": "SUITE 203",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "954-663-6079",
"fax_number": "954-717-0691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 W COMMERCIAL BLVD",
"address_2": "SUITE 203",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "954-663-6079",
"fax_number": "954-717-0691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZAEI ESCOBAR",
"first_name": "TARANEH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MLTMA41771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.