Active NPI
Tasjia Rachelle Cantrell-Duncan
- Massage Therapist
- Pinellas Park, FL
National Provider Identifier
1598040438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 62734
- Practice address
- 5580 Park Blvd
Suite 2
Pinellas Park, FL 33781 - Phone
- (727) 290-9820
- NPI assigned
- Oct 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 62734 | FL | Primary |
Addresses
Primary practice location
5580 Park Blvd
Suite 2
Pinellas Park, FL 33781
Mailing address
123 Glades Circle
Largo, FL 33771
Phone (727) 559-1399
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 62734 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1598040438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 GLADES CIRCLE",
"city": "LARGO",
"state": "FL",
"postal_code": "33771",
"telephone_number": "727-559-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5580 PARK BLVD",
"address_2": "SUITE 2",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "33781",
"telephone_number": "727-290-9820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTRELL-DUNCAN",
"first_name": "TASJIA",
"middle_name": "RACHELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 62734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.