Active NPI
Chance James Epps, LMT
- Massage Therapist
- Rockledge, FL
National Provider Identifier
1801210778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA59631
- Practice address
- 5410 Murrell Rd
Suit 125
Rockledge, FL 32955-6648 - Phone
- (321) 635-6071
- NPI assigned
- Feb 12, 2014
- Sex
- Male
- 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 | MA59631 | FL | Primary |
Addresses
Primary practice location
5410 Murrell Rd
Suit 125
Rockledge, FL 32955-6648
Mailing address
116 Virginia Ave
Cocoa, FL 32922-8634
Phone (321) 501-1056
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 |
|---|---|---|---|
| MA59631 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1801210778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 VIRGINIA AVE",
"city": "COCOA",
"state": "FL",
"postal_code": "329228634",
"telephone_number": "321-501-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 MURRELL RD",
"address_2": "SUIT 125",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329556648",
"telephone_number": "321-635-6071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPS",
"first_name": "CHANCE",
"middle_name": "JAMES",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-12",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA59631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.