Jacksonville Medical & Wellness Massage, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MM18737 Issued in FL

Legal business name

JACKSONVILLE MEDICAL & WELLNESS MASSAGE, INC.

Practice address

7545 Centurion Pkwy
Suite 304
Jacksonville, FL 32256-0579

Phone

(904) 645-8850

Fax

(904) 645-8865

NPI assigned

May 31, 2007

Last updated

Aug 22, 2020By 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

Miss Jessica K Adams, L.M.T., N.C.M.M.T.NPI 1053470450

Title

President

Phone

(904) 645-8850

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jessica Kristine Adams, LMT

  • Massage Therapist
  • Jacksonville, FL
  • NPI 1053470450
  NPD (past) Authorized official
• Todd Logan Rankin, LMT

  • Massage Therapist
  • Jacksonville, FL
  • NPI 1396946620
  NPD (past)
• Sonya N Samuels, L.M.T.

  • Massage Therapist
  • Jacksonville, FL
  • NPI 1316118722
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548462864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 CENTURION PKWY",
            "address_2": "SUITE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560579",
            "telephone_number": "904-645-8850",
            "fax_number": "904-645-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 CENTURION PKWY",
            "address_2": "SUITE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560579",
            "telephone_number": "904-645-8850",
            "fax_number": "904-645-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE MEDICAL & WELLNESS MASSAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-645-8850",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "L.M.T., N.C.M.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM18737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.