Individual provider Active NPI

Kimberlee Bjorn, LMT

  • Massage Therapist
  • Port St Lucie, FL
National Provider Identifier
1649735457
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA74301 Issued in FL
Practice address
119 SW Felix Ave
Port St Lucie, FL 34953-5583
Phone
(772) 284-2820
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA74301 FL Primary

Addresses

Primary practice location

119 SW Felix Ave
Port St Lucie, FL 34953-5583

Mailing address

119 SW Felix Ave
Port St Lucie, FL 34953-5583
Phone (772) 284-2820

Other practice location 1

119 SW Felix Ave
Port St Lucie, FL 34953-5583

Other practice location 2

119 SW Felix Ave
Port St Lucie, FL 34953-5583

Other practice location 3

119 SW Felix Ave
Port Saint Lucie, FL 34953-5583

Other practice location 4

119 SW Felix Ave
Port St Lucie, FL 34953-5583

Other practice location 5

119 SW Felix Ave
Port St Lucie, FL 34953-5583

Other practice location 6

119 SW Felix Ave
Port St Lucie, FL 34953-5583

Other practice location 7

119 SW Felix Ave
Port Saint Lucie, FL 34953-5583

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
MA74301FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1649735457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SW FELIX AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535583",
            "telephone_number": "772-284-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SW FELIX AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535583",
            "telephone_number": "772-284-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 SW Felix Ave",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349535583",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 SW Felix Ave",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349535583",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 SW Felix Ave",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349535583",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 SW Felix Ave",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349535583",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 SW Felix Ave",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349535583",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 SW Felix Ave",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349535583",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 SW Felix Ave",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349535583",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BJORN",
        "first_name": "KIMBERLEE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA74301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.