Active NPI
Celestina P Reyes Echenique
- Massage Therapist
- Cocoa, FL
National Provider Identifier
1386497808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA99656
- Practice address
- 627 Brevard Ave
Cocoa, FL 32922-7807 - Phone
- (321) 474-8482
- NPI assigned
- Apr 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA99656 | FL | Primary |
Addresses
Primary practice location
627 Brevard Ave
Cocoa, FL 32922-7807
Mailing address
4485 Byron Ave
Titusville, FL 32780-6227
Phone (321) 289-6700
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 |
|---|---|---|---|
| MA99656 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1386497808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4485 BYRON AVE",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327806227",
"telephone_number": "321-289-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 BREVARD AVE",
"city": "COCOA",
"state": "FL",
"postal_code": "329227807",
"telephone_number": "321-474-8482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES ECHENIQUE",
"first_name": "CELESTINA",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA99656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.