Individual provider Active NPI

Wendy Jo Bakal, LMT, NBHWC

  • Massage Therapist
  • Tampa, FL
National Provider Identifier
1902660483
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA95252 Issued in FL
Practice address
9617 N Oklawaha Ave
Tampa, FL 33617-4529
Phone
(917) 439-1623
NPI assigned
Feb 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X A-3253495 FL
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X FL
Massage Therapist 225700000X MA95252 FL Primary

Addresses

Primary practice location

9617 N Oklawaha Ave
Tampa, FL 33617-4529

Mailing address

9617 N Oklawaha Ave
Tampa, FL 33617-4529
Phone (917) 439-1623

Other names 1

  • Ms. Jo Bakal Professional name

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
A-3253495FLMDHealth & Wellness Coach
MA95252FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1902660483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9617 N OKLAWAHA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336174529",
            "telephone_number": "917-439-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9617 N OKLAWAHA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336174529",
            "telephone_number": "917-439-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKAL",
        "first_name": "WENDY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LMT, NBHWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "FL",
            "license": "A-3253495",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA95252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO",
            "last_name": "BAKAL",
            "prefix": "MS.",
            "credential": "LMT, NBHWC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.