Coast to Coast Massage Therapy by Jeremy Minnick Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA25921 Issued in FL

Legal business name

COAST TO COAST MASSAGE THERAPY BY JEREMY MINNICK INC.

Practice address

2143 NW 17TH Ave
Cape Coral, FL 33993-3101

Phone

(239) 671-9900

NPI assigned

Jul 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy A Minnick, LMTNPI 1659471522

Title

President / Owner

Phone

(239) 671-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Arthur Minnick, LMT

  • Massage Therapist
  • Cape Coral, FL
  • NPI 1659471522
  NPD (past) Authorized official

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1356696934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 NW 17TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339933101",
            "telephone_number": "239-671-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 NW 17TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339933101",
            "telephone_number": "239-671-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST TO COAST MASSAGE THERAPY BY JEREMY MINNICK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "MINNICK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "239-671-9900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA25921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C3738",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Michael Clochesy
• Heather Close
• Maude Clouse, MS CCC-SLP
• Caitlin Coakley, COTA/L
• Coast Florida P.a.
• Coastal Dysphagia Solutions Inc
• Coastal Physicians Inc
• Alyssa Cella Coates, LCSW
• Philip Andrew Cobb, D.C.
• Allison Cobian, LMHC

• Massage Therapist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.