Active NPI
Charlene Ann Nikolakakis
- Massage Therapist
- Sebring, FL
National Provider Identifier
1366614471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 27257
- Practice address
- 228 Lark Ave
Sebring, FL 33872-3529 - Phone
- (863) 657-4636
- Fax
- (863) 657-4636
- NPI assigned
- Mar 28, 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 | 27257 | FL | Primary |
Addresses
Primary practice location
228 Lark Ave
Sebring, FL 33872-3529
Mailing address
228 Lark Ave
Sebring, FL 33872-3529
Phone (863) 657-4636
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 |
|---|---|---|---|
| 27257 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1366614471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 LARK AVE",
"city": "SEBRING",
"state": "FL",
"postal_code": "338723529",
"telephone_number": "863-657-4636",
"fax_number": "863-657-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 LARK AVE",
"city": "SEBRING",
"state": "FL",
"postal_code": "338723529",
"telephone_number": "863-657-4636",
"fax_number": "863-657-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKOLAKAKIS",
"first_name": "CHARLENE",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-28",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "27257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
- Quan Nguyen, MD
- Thuy-Nga Nguyen
- Mike Lynn Nickless, CRNA
- Jose M Nieto, DO
- Gloria M Nieves, OTR/L
- Jennifer L Noble
- Ali Noor, MD
- Northland Hearing Centers, Inc. (Audibel Hearing Center)
- Novamed Surgery Center of Sebring LLC (Surgical Center of Central Florida)
- NRV Enterprises Inc (Functional Rehab Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.