5TH ESSENTIALS LLC — NPI 1114760246 (Licensed & Credentialed Massage Therapist in JACKSONVILLE, FL)

CMS-1500 Box 24J / 33a • NPI

1114760246

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

225700000X

Licensed & Credentialed Massage Therapist

Box 32 Service Location & ZIP+4

5706 BLACKTHORN RD, JACKSONVILLE, FL, 32244-2008

✓ 9-Digit EDI 837 ZIP+4 (32244-2008)

Practice Phone & Referral Fax

(904) 385-3288

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114760246 (5TH ESSENTIALS LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114760246` (NPI-2 Organization / Facility)
Provider / Legal Name	5TH ESSENTIALS LLC
Plain-English Specialty	Licensed & Credentialed Massage Therapist NUCC Code: `225700000X` (Massage Therapist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	5706 BLACKTHORN RD, JACKSONVILLE, FL, 32244-2008
Practice Telephone / Fax	Tel: (904) 385-3288
Administrative Mailing Address	5706 BLACKTHORN RD, JACKSONVILLE, FL, 32244-2008
Enumeration & Last Sync	Enumerated: 2024-06-17 \| CMS Record Updated: 2024-07-24
Authorized Official	JOSIE JACKSON (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5706 BLACKTHORN RD, JACKSONVILLE, FL, 32244-2008

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Plain-English Taxonomy & CMS Crosswalk (225700000X)

What Does Taxonomy Code 225700000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225700000X translates to:
"Licensed & Credentialed Massage Therapist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Massage Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (5TH ESSENTIALS LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171400000X` — Health & Wellness Coach Plain English: Licensed & Credentialed Health & Wellness Coach	State: N/A \| License: `Verified` \| Primary: Secondary
`225700000X` — Massage Therapist Plain English: Licensed & Credentialed Massage Therapist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`251C00000X` — Day Training, Developmentally Disabled Services Plain English: Licensed & Credentialed Day Training, Developmentally Disabled Services	State: N/A \| License: `Verified` \| Primary: Secondary
`253Z00000X` — In Home Supportive Care Plain English: Licensed & Credentialed In Home Supportive Care	State: N/A \| License: `Verified` \| Primary: Secondary
`310400000X` — Assisted Living Facility Plain English: Licensed & Credentialed Assisted Living Facility	State: N/A \| License: `Verified` \| Primary: Secondary
`311ZA0620X` — Custodial Care Facility, Adult Care Home Plain English: Licensed & Credentialed Custodial Care Facility, Adult Care Home	State: N/A \| License: `Verified` \| Primary: Secondary
`343900000X` — Non-emergency Medical Transport (VAN) Plain English: Licensed & Credentialed Non-emergency Medical Transport (VAN)	State: N/A \| License: `Verified` \| Primary: Secondary
`347C00000X` — Private Vehicle Plain English: Licensed & Credentialed Private Vehicle	State: N/A \| License: `Verified` \| Primary: Secondary
`372500000X` — Chore Provider Plain English: Licensed & Credentialed Chore Provider	State: N/A \| License: `Verified` \| Primary: Secondary
`374U00000X` — Home Health Aide Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary

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5TH ESSENTIALS LLC (NPI #1114760246)