Organization Active NPI

Boben, LLC

  • Massage Therapist
  • Jacksonville, FL
National Provider Identifier
1871815951
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA24586 Issued in FL
Legal business name
BOBEN, LLC
Practice address
3864 San Jose Park Dr
Jacksonville, FL 32217-4613
Phone
(904) 737-8552
Fax
(904) 737-8113
NPI assigned
Feb 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Mrs. Jennifer Leah Rankin
Title
Owner/Administrator/Biller
Phone
(904) 737-8552

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH4435 FL
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2591 FL
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA24586 FL Primary

Addresses

Primary practice location

3864 San Jose Park Dr
Jacksonville, FL 32217-4613

Mailing address

3864 San Jose Park Dr
Jacksonville, FL 32217-4613
Phone (904) 737-8552

Other names 1

  • MassageFirst Doing business as

National Provider Directory

National Provider Directory

Locations

3864 San Jose Park Dr
Jacksonville, FL 32217
Phone (904) 737-8552

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1871815951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3864 SAN JOSE PARK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174613",
            "telephone_number": "904-737-8552",
            "fax_number": "904-737-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3864 SAN JOSE PARK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174613",
            "telephone_number": "904-737-8552",
            "fax_number": "904-737-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR/BILLER",
        "authorized_official_telephone_number": "904-737-8552",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4435",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2591",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA24586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MassageFirst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 17, 2010; 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.