Trinity Therapeutic Massage, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

TRINITY THERAPEUTIC MASSAGE, LLC

Doing business as

Gulf Harbors Therapeutic Massage

Practice address

4916 Shell Stream Blvd
New Port Richey, FL 34652-4439

Phone

(727) 300-2668

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Jerrica GlaeserNPI 1356052484

Title

Owner

Phone

(727) 534-5019

Specialties & licenses 1

Addresses

Other names 1

• Gulf Harbors Therapeutic Massage Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerrica Glaeser

  • Massage Therapist
  • New Port Richey, FL
  • NPI 1356052484
  NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1659098465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 SHELL STREAM BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524439",
            "telephone_number": "727-300-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 SHELL STREAM BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524439",
            "telephone_number": "727-300-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY THERAPEUTIC MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "GLAESER",
        "authorized_official_first_name": "JERRICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-534-5019"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Harbors Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.