Jennifer Maxine Eckensberger, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA32647 Issued in FL

Practice address

603 3Rd St S
Jacksonville Beach, FL 32250-6625

Phone

(904) 270-1010

NPI assigned

Jun 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1902034481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3573 PEBBLE PATH LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241617",
            "telephone_number": "904-270-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 3RD ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506625",
            "telephone_number": "904-270-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKENSBERGER",
        "first_name": "JENNIFER",
        "middle_name": "MAXINE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA32647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Letitia Michele Early
• East Coast Worldwide LLC
• Melvin Eaton
• Eccella Smiles PA
• Kevin Heath Echols, CRNA
• Bridget Colleen Edkin, D.C.
• Samantha Ellen Eisen-Seyda, M.S.,CCC/SLP
• Elite Endurance Physio LLC
• Christine Ellis, LMHC
• Lee Brandon Epstein, MD

• Massage Therapist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.