Active NPI
Paula Serrano
- Massage Therapist
- Jacksonville, FL
National Provider Identifier
1346912201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA76388
- Practice address
- 550 Balmoral Cir N Ste 203
Jacksonville, FL 32218-5577 - Phone
- (561) 951-0914
- NPI assigned
- Sep 29, 2021
- Reactivated
- Apr 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA76388 | FL | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
550 Balmoral Cir N Ste 203
Jacksonville, FL 32218-5577
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (866) 610-0580
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 |
|---|---|---|---|
| MA76388 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiance Massage and Bodywork | Massage Therapist | Current | Accepting new patients |
Locations
550 Balmoral Cir N
Ste 203
Jacksonville, FL 32218
Phone (321) 684-3003
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
- Jacksonville, FL
- NPI 1659169894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1346912201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 INTERNATIONAL PKWY STE 200",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465028",
"telephone_number": "866-610-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 BALMORAL CIR N STE 203",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322185577",
"telephone_number": "561-951-0914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "PAULA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"deactivation_date": "2022-02-09",
"reactivation_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA76388",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.