Individual provider Active NPI

Kristi M Rodriguez, LMT

  • Massage Therapist
  • Juno Beach, FL
National Provider Identifier
1831482652
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61810 Issued in FL
Practice address
570 Ocean Dr
Ste 501
Juno Beach, FL 33408-1952
Phone
(954) 599-8933
NPI assigned
May 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61810 FL Primary

Addresses

Primary practice location

570 Ocean Dr
Ste 501
Juno Beach, FL 33408-1952

Mailing address

5051 SW 120TH Ave
Cooper City, FL 33330-5427
Phone (954) 665-6879

Other identifiers 1

IdentifierTypeStateIssuer
MA61810OtherFLLICENSED MASSAGE THERAPIST

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

LicenseStateTypeSpecialty
MA61810FLMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1831482652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 SW 120TH AVE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333305427",
            "telephone_number": "954-665-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 OCEAN DR",
            "address_2": "STE 501",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081952",
            "telephone_number": "954-599-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KRISTI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA61810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPIST",
            "identifier": "MA61810",
            "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 May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.