Individual provider Active NPI

Jeneene Rene Rahal

  • Massage Therapist
  • Lantana, FL
National Provider Identifier
1508197658
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12816 Issued in FL
Practice address
720 S Dixie Hwy
Lantana, FL 33462-4652
Phone
(561) 619-5858
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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 12816 FL Primary

Addresses

Primary practice location

720 S Dixie Hwy
Lantana, FL 33462-4652

Mailing address

190 SE 7TH St Apt 8
Deerfield Beach, FL 33441-5492

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
12816FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Wellness Centers, LLC CurrentSince Jul 31, 2023 Accepting new patients
Comprehensive Wellness Centers LLC CurrentSince Jul 31, 2023 Accepting new patients
Backstretch South Florida Massage Therapist Past Accepting new patients

Locations

720 S Dixie Hwy
Lantana, FL 33462
Phone (561) 619-5858

Organizations & group practices 3

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1508197658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SE 7TH ST APT 8",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S DIXIE HWY",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334624652",
            "telephone_number": "561-619-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHAL",
        "first_name": "JENEENE",
        "middle_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "12816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.