Active NPI
Tracy Renner, LMT
- Massage Therapist
- Celebration, FL
National Provider Identifier
1396011508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 66070
- Practice address
- 605 Celebration Ave
Celebration, FL 34747-4690 - Phone
- (321) 559-4144
- NPI assigned
- Apr 2, 2012
- Last updated
- Apr 2, 2012
- 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 | MA 66070 | FL | Primary |
Addresses
Primary practice location
605 Celebration Ave
Celebration, FL 34747-4690
Mailing address
5323 Micco St
Kissimmee, FL 34746-4606
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 |
|---|---|---|---|
| MA 66070 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1396011508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5323 MICCO ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347464606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 CELEBRATION AVE",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474690",
"telephone_number": "321-559-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNER",
"first_name": "TRACY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-02",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 66070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Celebration, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.