Individual provider Active NPI

Jason Andrea Fells, MASSAGE THERAPIST

  • Massage Therapist
  • Hampton, VA
National Provider Identifier
1023722832
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019003913 Issued in VA
Practice address
1 E Mellen St Ste 208
Hampton, VA 23663-1709
Phone
(757) 535-7539
Fax
(757) 544-9478
NPI assigned
Jan 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019003913 VA Primary

Addresses

Primary practice location

1 E Mellen St Ste 208
Hampton, VA 23663-1709

Mailing address

4006 Victory Blvd Ste J158
Portsmouth, VA 23701-2844
Phone (757) 535-7538

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
0019003913VAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1023722832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 VICTORY BLVD STE J158",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012844",
            "telephone_number": "757-535-7538",
            "fax_number": "757-544-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E MELLEN ST STE 208",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236631709",
            "telephone_number": "757-535-7539",
            "fax_number": "757-544-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLS",
        "first_name": "JASON",
        "middle_name": "ANDREA",
        "name_prefix": "Mr.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019003913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.