Active NPI
Grecia Reyes Valerio, LMT
- Massage Therapist
- Jacksonville Beach, FL
National Provider Identifier
1922824341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA102563
- Practice address
- 730 Beach Blvd Ste 101
Jacksonville Beach, FL 32250-5352 - Phone
- (786) 630-7895
- NPI assigned
- Dec 2, 2024
- Sex
- Female
- Sole proprietor
- No
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 | MA102563 | FL | Primary |
Addresses
Primary practice location
730 Beach Blvd Ste 101
Jacksonville Beach, FL 32250-5352
Mailing address
3601 Kernan Blvd S
Building 5, Apt 524
Jacksonville, FL 32224
Phone (786) 630-7895
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 |
|---|---|---|---|
| MA102563 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1922824341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 KERNAN BLVD S",
"address_2": "BUILDING 5, APT 524",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32224",
"telephone_number": "786-630-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 BEACH BLVD STE 101",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322505352",
"telephone_number": "786-630-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES VALERIO",
"first_name": "GRECIA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA102563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.