Individual provider Active NPI

Cherelle Lavora Charneco, LMT

  • Massage Therapist
  • Clermont, FL
National Provider Identifier
1992565238
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA103966 Issued in FL
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.

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
MA103966FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical & Sports Massage and Bodywork, LLC. Massage Therapist CurrentSince Mar 24, 2024 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)CodeLicenseStatePrimary
Massage Therapist 225700000X MA103966 FL Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.