Organization Active NPI

Radiance Massage and Bodywork

  • Massage Therapist
  • Jacksonville, FL
National Provider Identifier
1659169894
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
RADIANCE MASSAGE AND BODYWORK
Practice address
550 Balmoral Cir N Ste 203
Jacksonville, FL 32218-5577
Phone
(561) 951-0914
NPI assigned
Apr 28, 2025
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Paula Marcela Serrano, LMTNPI 1346912201
Title
Owner/Manager
Phone
(561) 951-0914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

550 Balmoral Cir N Ste 203
Jacksonville, FL 32218-5577

Mailing address

11514 Harlan Dr
Jacksonville, FL 32218-4052
Phone (561) 951-0914

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1659169894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11514 HARLAN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184052",
            "telephone_number": "561-951-0914",
            "fax_number": "561-951-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BALMORAL CIR N STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185577",
            "telephone_number": "561-951-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE MASSAGE AND BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "MARCELA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "561-951-0914",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.