Chelsey Petrina
Individual provider Active NPI Massage Therapist · Oldsmar, FL
NPI 1730809161 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1730809161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 100700 (FL)
- Practice address
- 5029 Kilkenney CT
Oldsmar, FL 34677-5106 - Phone
- (785) 317-3520
- NPI assigned
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100700 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 100700 | FL | Yes |
Addresses
Primary practice location
5029 Kilkenney CT
Oldsmar, FL 34677-5106
Mailing address
5029 Kilkenney CT
Oldsmar, FL 34677-5106
Phone (785) 317-3520
NPI Registry JSON
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1730809161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5029 KILKENNEY CT",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346775106",
"telephone_number": "785-317-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5029 KILKENNEY CT",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346775106",
"telephone_number": "785-317-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRINA",
"first_name": "CHELSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2022-08-29",
"certification_date": "2022-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "100700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oldsmar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.