Individual provider Active NPI

Jorge L Roche, M A55664

  • Massage Therapist
  • Miami, FL
National Provider Identifier
1972820777
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 55664 Issued in FL
Practice address
42 NW 27TH Ave Ste 411
Miami, FL 33125-5136
Phone
(786) 360-4581
Fax
(786) 360-4942
NPI assigned
May 3, 2010
Last updated
May 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 55664 FL Primary

Addresses

Primary practice location

42 NW 27TH Ave Ste 411
Miami, FL 33125-5136

Mailing address

42 NW 27TH Ave Ste 411
Miami, FL 33125-5136
Phone (786) 360-4581

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 55664FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nice Therapy Center, Inc. Past Accepting new patients

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1972820777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 NW 27TH AVE STE 411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255136",
            "telephone_number": "786-360-4581",
            "fax_number": "786-360-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 NW 27TH AVE STE 411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255136",
            "telephone_number": "786-360-4581",
            "fax_number": "786-360-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "M A55664",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 55664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.