Individual provider Active NPI

Joshua Echelson

  • Massage Therapist
  • Cape Coral, FL
National Provider Identifier
1942654157
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA95194 Issued in FL
Practice address
1338 Del Prado Blvd S Ste F
Cape Coral, FL 33990-3714
Phone
(239) 823-3370
NPI assigned
Apr 14, 2016
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 26599 FL
Massage Therapist 225700000X MA95194 FL Primary

Addresses

Primary practice location

1338 Del Prado Blvd S Ste F
Cape Coral, FL 33990-3714

Mailing address

1338 Del Prado Blvd S Ste F
Cape Coral, FL 33990-3714
Phone (239) 823-3370

Other identifiers 1

IdentifierTypeStateIssuer
PTA 26599OtherFLPTA LICENSE

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
PTA 26599FLMDPhysical Therapy Assistant
MA95194FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic Recovery Services Massage Therapist CurrentSince May 7, 2024 Accepting new patients

Locations

1338 Del Prado Blvd S
Ste F
Cape Coral, FL 33990
Phone (239) 823-3370

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1942654157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 DEL PRADO BLVD S STE F",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903714",
            "telephone_number": "239-823-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 DEL PRADO BLVD S STE F",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903714",
            "telephone_number": "239-823-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHELSON",
        "first_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 26599",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA95194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "PTA 26599",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.