Individual provider Active NPI

Theresa Ann Junaid, LMT, CNA, PBT

  • Massage Therapist
  • Coral Springs, FL
National Provider Identifier
1972745214
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 21705 Issued in FL
Practice address
1500 N University Dr
Suite 105
Coral Springs, FL 33071-8914
Phone
(954) 643-8840
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 21705 FL Primary
Nurse's Aide 376K00000X CNA224023 FL

Addresses

Primary practice location

1500 N University Dr
Suite 105
Coral Springs, FL 33071-8914

Mailing address

1500 N University Dr
Suite 105
Coral Springs, FL 33071-8914
Phone (954) 643-8840

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
MA 21705FLMDMassage Therapist
CNA224023FLMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1972745214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N UNIVERSITY DR",
            "address_2": "SUITE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718914",
            "telephone_number": "954-643-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N UNIVERSITY DR",
            "address_2": "SUITE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718914",
            "telephone_number": "954-643-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNAID",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMT, CNA, PBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 21705",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA224023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.