NPIMap

Individual provider Active NPI

Jesus Dela Couret, LMT

  • Massage Therapist
  • Ft Lauderdale, FL
National Provider Identifier
1497071104
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA26430 Issued in FL
Practice address
1395 W Sunrise Blvd
Ste 1
Ft Lauderdale, FL 33311-7076
Phone
(954) 616-5849
Fax
(954) 616-5851
NPI assigned
Apr 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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 MA26430 FL Primary

Addresses

Primary practice location

1395 W Sunrise Blvd
Ste 1
Ft Lauderdale, FL 33311-7076

Mailing address

1395 W Sunrise Blvd
Ste 1
Ft Lauderdale, FL 33311-7076
Phone (954) 616-5849

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
MA26430FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro-Medical Pain Relief Center, Inc. Past Accepting new patients
A Body in Motion LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1497071104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 W SUNRISE BLVD",
            "address_2": "STE 1",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117076",
            "telephone_number": "954-616-5849",
            "fax_number": "954-616-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 W SUNRISE BLVD",
            "address_2": "STE 1",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117076",
            "telephone_number": "954-616-5849",
            "fax_number": "954-616-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURET",
        "first_name": "JESUS",
        "middle_name": "DELA",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA26430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.