Reveille LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

REVEILLE LLC

Practice address

717 S Cocoa Blvd Ste 202
Cocoa, FL 32922-7659

Phone

(321) 361-7949

NPI assigned

Apr 23, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Leslie G Ventura, LMTNPI 1457949760

Title

Owner

Phone

(321) 361-7949

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie G Ventura

  • Massage Therapist
  • Cocoa, FL
  • NPI 1457949760
  NPD Authorized official

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1548842164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S COCOA BLVD STE 202",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227659",
            "telephone_number": "321-361-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S COCOA BLVD STE 202",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227659",
            "telephone_number": "321-361-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "VENTURA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-361-7949",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cocoa",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "717 S Cocoa Blvd Ste 202",
            "city": "Cocoa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329227659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Faiaz Mahmud Rasul, M.D.
• Vignesh Ravikumar
• Jessica Recchilongo
• Regional Companions
• Maria Remensperger, LMHC, CAP, SAP
• Celestina P Reyes Echenique
• Sharon Reyes
• Crystal Tea Reynolds
• Marissa Rhodes
• Lisa S Rhynes-Partlow, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.