Linda Lee Grimes

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAOO21441 Issued in FL

Practice address

3837 South Side Blve
Suite 6
Jacksonville, FL 32216

Phone

(904) 642-0771

Fax

(904) 642-0345

NPI assigned

Mar 24, 2010

Last updated

Mar 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• H2 Rehabilitation Services of Florida LLC

  dba Beachside Physical Therapy

  • Rehabilitation Clinic/Center
  • West Melbourne, FL
  • NPI 1366269144
  NPD (past)

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1629392329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 GRASSINGTON WAY S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322235068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3837 SOUTH SIDE BLVE",
            "address_2": "SUITE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-642-0771",
            "fax_number": "904-642-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MAOO21441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Grimaldi Jr., PA-C, ATC
• Brian Grimard, MD
• Angela Grimball, PHARMD
• Hallie Elizabeth Grimes
• Joshua Kyle Grimes
• Yolanda Anternett Grimes, LPN
• Richard Scott Grimshaw, O.D.
• Richard R. Grimsley, MD
• Lea Grinberg-Korczyn, M.D, PHD
• Shane D Grindle, APRN

• 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 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.

Verify at the official NPI Registry.