Active NPI
Cherelle Lavora Charneco, LMT
- Massage Therapist
- Clermont, FL
National Provider Identifier
1992565238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA103966
- Practice address
- 1655 E Highway 50 Ste 316
Clermont, FL 34711-0016 - Phone
- (352) 432-8626
- NPI assigned
- Mar 21, 2024
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Massage Therapist
- Clermont, FL
- NPI 1518727858
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 |
|---|---|---|---|
| MA103966 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical & Sports Massage and Bodywork, LLC. | Massage Therapist | Current | Accepting new patients |
Locations
1655 E Highway 50
Ste 316
Clermont, FL 34711
Phone (352) 432-8626
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA103966 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1655 E Highway 50 Ste 316
Clermont, FL 34711-0016
Mailing address
1655 E Highway 50 Ste 316
Clermont, FL 34711-0016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2024.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1992565238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 E HIGHWAY 50 STE 316",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347110016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 E HIGHWAY 50 STE 316",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347110016",
"telephone_number": "352-432-8626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARNECO",
"first_name": "CHERELLE",
"middle_name": "LAVORA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA103966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.