Active NPI
Lena D. Park, LMT
- Massage Therapist
- Panama City, FL
National Provider Identifier
1851436158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA27360
- Practice address
- 121 W. 23Rd Street
Panama City, FL 32405-3607 - Phone
- (850) 319-6708
- NPI assigned
- Feb 21, 2007
- 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 | MA27360 | FL | Primary |
Addresses
Primary practice location
121 W. 23Rd Street
Panama City, FL 32405-3607
Mailing address
PO Box 617
Panama City, FL 32402-0617
Phone (850) 319-6708
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 |
|---|---|---|---|
| MA27360 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1851436158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 617",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324020617",
"telephone_number": "850-319-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W. 23RD STREET",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324053607",
"telephone_number": "850-319-6708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "LENA",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA27360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.