Active NPI
Lisa Ann Jeffrey, LMT
- Massage Therapist
- San Antonio, FL
National Provider Identifier
1609012491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 55167
- Practice address
- 32675 Pennsylvania Ave.
San Antonio, FL 33576 - Phone
- (813) 838-1787
- Fax
- (352) 437-4059
- NPI assigned
- Dec 28, 2008
- Last updated
- Mar 24, 2010
- 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 55167 | FL | Primary |
Addresses
Primary practice location
32675 Pennsylvania Ave.
San Antonio, FL 33576
Mailing address
PO Box 2420
Saint Leo, FL 33574-2420
Phone (813) 838-1787
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 55167 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1609012491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2420",
"city": "SAINT LEO",
"state": "FL",
"postal_code": "335742420",
"telephone_number": "813-838-1787",
"fax_number": "352-437-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32675 PENNSYLVANIA AVE.",
"city": "SAN ANTONIO",
"state": "FL",
"postal_code": "33576",
"telephone_number": "813-838-1787",
"fax_number": "352-437-4059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFREY",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-28",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 55167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.