Individual provider Active NPI

Simion Tankhelson, L.M.T.

  • Massage Therapist
  • Gainesville, FL
National Provider Identifier
1487826251
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA48156 Issued in FL
Practice address
2441 NW 43Rd St
Suite 9
Gainesville, FL 32606-7469
Phone
(352) 378-8125
NPI assigned
Apr 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA48156 FL Primary

Addresses

Primary practice location

2441 NW 43Rd St
Suite 9
Gainesville, FL 32606-7469

Mailing address

5749 SW 75TH Dr
Apt 324
Gainesville, FL 32608-8595
Phone (352) 505-3559

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

LicenseStateTypeSpecialty
MA48156FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1487826251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5749 SW 75TH DR",
            "address_2": "APT 324",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088595",
            "telephone_number": "352-505-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 NW 43RD ST",
            "address_2": "SUITE 9",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067469",
            "telephone_number": "352-378-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKHELSON",
        "first_name": "SIMION",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA48156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.