Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003163858 Individual Practitioner Male Practitioner

Jerrell S Bostick , BS

Massage Therapist • Daytona Beach, FL

Professional Overview & Biography Verified Profile Summary

Jerrell Bostick, BS is a registered healthcare professional specializing in Massage Therapist in Daytona Beach, FL. Practice services are available at 504 RAILWAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

504 Railway St

Daytona Beach, FL 321142654

Telephone 3866798532

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.8 Yrs
Regional Practice Density
20 Specialists

Practicing in Daytona Beach, FL (7145 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-13
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License TX MT135450

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License FL MA79474

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2024

Case Manager/Care Coordinator

NPI Profile Active January 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2017

Registered at 504 RAILWAY ST, DAYTONA BEACH, FL 321142654 (Tel: 3866798532)

📍
Updated Business Mailing Address January 23, 2017

Registered at 504 RAILWAY ST, DAYTONA BEACH, FL 321142654 (Tel: 3866798532)

👤
Provider Name / Credentials Updated January 23, 2017

Recorded as JERRELL BOSTICK, B.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2017

Massage Therapist (License #MA79474 in FL)

NPI Profile Active August 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2012

Registered at 160 N BEACH ST, DAYTONA BEACH, FL 321143314 (Tel: 3869444707)

📍
Updated Business Mailing Address August 11, 2012

Registered at 160 N BEACH ST, DAYTONA BEACH, FL 321143314 (Tel: 3869444707)

👤
Provider Name / Credentials Updated August 11, 2012

Recorded as JERRELL BOSTICK, B.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2012

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration August 11, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003163858
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2012
Last Update: January 13, 2024
Sole Proprietor: Yes

Mailing Address

504 Railway St

Daytona Beach, FL 321142654

Phone: 3866798532

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.