Jenni Lynn Flick, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA48133 Issued in FL

Practice address

1635 S Ridgewood Ave
Suite 207
South Daytona, FL 32119-8427

Phone

(386) 492-2958

NPI assigned

Feb 24, 2009

Last updated

Feb 24, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1326288861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 HAY BALE TRL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748212",
            "telephone_number": "386-405-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 S RIDGEWOOD AVE",
            "address_2": "SUITE 207",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321198427",
            "telephone_number": "386-492-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICK",
        "first_name": "JENNI",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA48133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Crickette Fedele, AP
• Elizabeth Ann Ferguson, L.C.S.W.
• Michael Ficarra
• Paige Fisher
• Fleta Medical Care Center, LLC
• Florida Hospital DME/RT, LLC (AdventHealth Respiratory and Equipment Florida)
• Marcus Zachariah Folkes, MS
• Kimberly Francis
• Ruth Ann Freeman, PT
• Veronica Fuentes

• Massage Therapist in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.