Active NPI
Alison De Maintenon Rucker, LMT
- Massage Therapist
- Gainesville, FL
National Provider Identifier
1801189527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 62435
- Practice address
- 1240 NW 11TH Ave
Chance Chiropractic
Gainesville, FL 32601-4146 - Phone
- (706) 206-9868
- NPI assigned
- May 27, 2011
- Last updated
- Feb 7, 2014
- 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 | MA 62435 | FL | Primary |
Addresses
Primary practice location
1240 NW 11TH Ave
Chance Chiropractic
Gainesville, FL 32601-4146
Mailing address
407B SE 7TH St
Gainesville, FL 32601-6829
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 |
|---|---|---|---|
| MA 62435 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1801189527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407B SE 7TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326016829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 NW 11TH AVE",
"address_2": "CHANCE CHIROPRACTIC",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326014146",
"telephone_number": "706-206-9868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKER",
"first_name": "ALISON",
"middle_name": "DE MAINTENON",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-27",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 62435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.