Jasper Koenig, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA85222 Issued in FL

Practice address

3446 Grand Forks Dr
Land O Lakes, FL 34639-5594

Phone

(786) 708-2261

NPI assigned

Oct 23, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634947200000",
    "number": "1316601677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 N HIMES AVE # 325",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141627",
            "telephone_number": "786-708-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3446 GRAND FORKS DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395594",
            "telephone_number": "786-708-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "JASPER",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-23",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA85222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kismets & Rebels, LLC
• KMR Therapy, LLC
• Omaima Kobaisy, MD
• Nichol Kobler
• Tracey E Kock, ITDS
• Ashley Korah
• Debra Johnson Kotter, RRT
• Edmund John Kozlowski III, LMT
• Paige Krause
• Luci Krueger, PHARM.D.

• Massage Therapist in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; 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.