Nancy M Reynoso

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA85825 Issued in FL

Practice address

1985 Stout Ocean Dr Apt 18N
Hallandale Beach, FL 33009

Phone

(407) 369-0966

NPI assigned

Mar 12, 2018

Last updated

Nov 27, 2023By the provider in NPPES

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

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

• C3 Wellness, LLC

  dba C3 Wellness Spa

  • Multi-Specialty Clinic/Center
  • Kissimmee, FL
  • NPI 1811490287

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1487157970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13920 LANDSTAR BLVD # 23",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32824",
            "telephone_number": "407-369-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 STOUT OCEAN DR APT 18N",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "407-369-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "NANCY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA85825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Treatment Centers-Southeast, LP (Aventura Kidney Center)
• Renee Irene Ross LCSW PSYD Inc.
• Renew Vein Centers, PLLC
• Sandra Patricia Restrepo
• Grace Maher Reynolds, M.D.
• Niloufar Rezakhani, DMD
• Eric Y Reznik, PSY.D.
• Rheumatology & Wellness Holding, PLLC (SWCA Rheumatology)
• Rachelle Rhodes, PT, DPT, ATC
• Laverne Richard

• Massage Therapist in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.