Active NPI
Juan C. Ross, MASSAJE THERAPIST
- Massage Therapist
- Miami, FL
National Provider Identifier
1982995817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA62829
- Practice address
- 13549 SW 11TH LN
Miami, FL 33184-1837 - Phone
- (305) 303-2240
- NPI assigned
- Apr 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | HCC9395 | FL | |
| Massage Therapist | 225700000X | MA62829 | FL | Primary |
Addresses
Primary practice location
13549 SW 11TH LN
Miami, FL 33184-1837
Mailing address
13549 SW 11TH LN
Miami, FL 33184-1837
Phone (305) 303-2240
Other practice location 1
4771 SW 8th St
Miami, FL 33134-2546
Phone (305) 646-1886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009966100 | Medicaid | FL |
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 |
|---|---|---|---|
| MA62829 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 5D Community Group LLC | Current | Accepting new patients | |
| Cybertalex Behavioral Center Corp | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Miam, FL
- NPI 1801483086
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1033829460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1982995817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13549 SW 11TH LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331841837",
"telephone_number": "305-303-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13549 SW 11TH LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331841837",
"telephone_number": "305-303-2240"
}
],
"practiceLocations": [
{
"address_1": "4771 SW 8th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331342546",
"country_code": "US",
"telephone_number": "305-646-1886",
"fax_number": "305-646-1887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "JUAN",
"middle_name": "C.",
"credential": "MASSAJE THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-26",
"last_updated": "2020-12-18",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "HCC9395",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA62829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009966100",
"state": "FL"
}
],
"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 Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.