Active NPI
Selena Blossom Taylor, LICENSED MASSAGE THE
- Massage Therapist
- Juno Beach, FL
National Provider Identifier
1760646145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 570 Ocean Dr
#501 Holistic Massage & Wellness Clinics
Juno Beach, FL 33408 - Phone
- (954) 491-2225
- Fax
- (954) 491-6862
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
570 Ocean Dr
#501 Holistic Massage & Wellness Clinics
Juno Beach, FL 33408
Mailing address
5100 SW 41St St
Apt 203
Pembroke Park, FL 33023
Phone (407) 953-1497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA53439 | Other | FL | LMT LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Massage & Wellness Clinics | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Massage Therapist
- Fort Lauderdale, FL
- NPI 1578694915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1760646145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 SW 41ST ST",
"address_2": "APT 203",
"city": "PEMBROKE PARK",
"state": "FL",
"postal_code": "33023",
"telephone_number": "407-953-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 OCEAN DR",
"address_2": "#501 HOLISTIC MASSAGE & WELLNESS CLINICS",
"city": "JUNO BEACH",
"state": "FL",
"postal_code": "33408",
"telephone_number": "954-491-2225",
"fax_number": "954-491-6862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SELENA",
"middle_name": "BLOSSOM",
"name_prefix": "Ms.",
"credential": "LICENSED MASSAGE THE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT LICENSE",
"identifier": "MA53439",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Juno Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.