Active NPI
Techer T McGibbin, LMT
- Massage Therapist
- Jacksonville, FL
National Provider Identifier
1760737019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 65551
- Practice address
- 12795 San Jose Blvd
Suite 9
Jacksonville, FL 32223-2669 - Phone
- (904) 619-1587
- NPI assigned
- Jul 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 65551 | FL | Primary |
Addresses
Primary practice location
12795 San Jose Blvd
Suite 9
Jacksonville, FL 32223-2669
Mailing address
12795 San Jose Blvd
Suite 9
Jacksonville, FL 32223-2669
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
| License | State | Type | Specialty |
|---|---|---|---|
| 65551 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vakil Therapeutic Services | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1760737019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12795 SAN JOSE BLVD",
"address_2": "SUITE 9",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322232669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12795 SAN JOSE BLVD",
"address_2": "SUITE 9",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322232669",
"telephone_number": "904-619-1587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGIBBIN",
"first_name": "TECHER",
"middle_name": "T",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "65551",
"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 Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.