Makayla Jefferis, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.025187 Issued in OH

Practice address

409 S 22ND St Ste 5
Heath, OH 43056-1575

Phone

(740) 564-3022

NPI assigned

Oct 19, 2020

Reactivated

Feb 9, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dynamic Wellness Studio

  • Massage Therapist
  • Heath, OH
  • NPI 1639946478
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1023617313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12464 LAUREL HILL RD",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430769380",
            "telephone_number": "330-524-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S 22ND ST STE 5",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561575",
            "telephone_number": "740-564-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERIS",
        "first_name": "MAKAYLA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "deactivation_date": "2021-08-22",
        "reactivation_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.025187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Heath, OH
• Providers in Heath, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.