Peggie Bennett

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

56884 Issued in FL

Practice address

9951 Atlantic Blvd
Suite 217
Jacksonville, FL 32225-6584

Phone

(904) 662-3290

NPI assigned

Oct 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alleviated Body Massage Therapy LLC

  • Massage Therapist
  • Jacksonville, FL
  • NPI 1952197881
  NPD Authorized official

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1467822437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7672 JANA LN S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108702",
            "telephone_number": "904-662-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD",
            "address_2": "SUITE 217",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256584",
            "telephone_number": "904-662-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "PEGGIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "56884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillyn Marie Bennett, LOTR, CLT, CFPS
• Lindsey Komara Bennett, LCSW, MCAP
• Lisa Marie Bennett, ARNP
• Lishon Bennett
• Pamela K Bennett, APRN
• Ramona Bennett
• Randall C Bennett, P.A.
• Roosevelt Bennett Jr., AA-C
• Bennie Clark Jr DMD PA
• George S Bennitt, DDS

• Massage Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.