Eastern Modalities, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

EASTERN MODALITIES, LLC

Practice address

3837 N Econlockhatchee TRL Ste 110
Orlando, FL 32817-1600

Phone

(800) 289-3088

NPI assigned

Aug 25, 2022

Last updated

Jun 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Martin-Rodriguez, LMT, LPN, MLD-CNPI 1962121012

Title

Ceo/Massage Therapist

Phone

(407) 274-5145

Specialties & licenses 2

Addresses

Locations

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.

• Jacqueline Martin-Rodriguez, LMT, LPN, MLD-C

  • Massage Therapist
  • Orlando, FL
  • NPI 1962121012

  Licensed Practical Nurse

  NPD Authorized official

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1477272029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18739 NATCHEZ ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328334108",
            "telephone_number": "407-274-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3837 N ECONLOCKHATCHEE TRL STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171600",
            "telephone_number": "800-289-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MODALITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN-RODRIGUEZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "407-274-5145",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT, LPN, MLD-C"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastcoast Medical Network Inc (The Medical Concierge)
• Eastcoast Medical Network Inc (The Medical Concierge)
• Eastcoast Medical Network Inc (The Medical Concierge)
• Casey Easterling, MD
• Constance Buchanan Easterling, ARNP
• Amber Rose Eastwood, ARNP
• Brandy Taylor Eaton
• Cynthia Louise Eaton, M.D.
• Ameneh Abedinzadeh Ebadi, D.O.
• Sedigheh Ebadi, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.