Individual provider Active NPI

Jeremy Robert Siler, LMT, CES

  • Massage Therapist
  • Tampa, FL
National Provider Identifier
1598096430
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA56740 Issued in FL
Practice address
8601 White Swan Dr
Apt 201
Tampa, FL 33614-2271
Phone
(813) 602-5119
NPI assigned
Jan 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA56740 FL Primary
Clinical Exercise Physiologist 224Y00000X

Addresses

Primary practice location

8601 White Swan Dr
Apt 201
Tampa, FL 33614-2271

Mailing address

8601 White Swan Dr
Apt 201
Tampa, FL 33614-2271
Phone (786) 277-8002

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
MA56740FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1598096430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 WHITE SWAN DR",
            "address_2": "APT 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142271",
            "telephone_number": "786-277-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 WHITE SWAN DR",
            "address_2": "APT 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142271",
            "telephone_number": "813-602-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILER",
        "first_name": "JEREMY",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LMT, CES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA56740",
            "primary": true
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.