NPIMap

Organization Active NPI

JG Massage & Bodywork

  • Physical Therapy Clinic/Center
  • Lehigh Acres, FL
National Provider Identifier
1376878124
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MM23712 Issued in FL
Legal business name
JG MASSAGE & BODYWORK
Practice address
1154 Lee Blvd Ste 3
Lehigh Acres, FL 33936-4852
Phone
(239) 369-2933
Fax
(888) 577-7440
NPI assigned
Oct 13, 2009
Last updated
Oct 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Javier Garcia, LMTNPI 1700111879
Title
Owner
Phone
(239) 369-2933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MM23712 FL Primary

Addresses

Primary practice location

1154 Lee Blvd Ste 3
Lehigh Acres, FL 33936-4852

Mailing address

1154 Lee Blvd Ste 3
Lehigh Acres, FL 33936-4852
Phone (239) 369-2933

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1376878124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 LEE BLVD STE 3",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364852",
            "telephone_number": "239-369-2933",
            "fax_number": "888-577-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 LEE BLVD STE 3",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364852",
            "telephone_number": "239-369-2933",
            "fax_number": "888-577-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JG MASSAGE & BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-369-2933",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MM23712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.