Active NPI
Jeremy Joseph Kratochvil
- Massage Therapist
- Ludlow, MA
National Provider Identifier
1043190259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA104894
- Practice address
- 208 Reynolds St
Ludlow, MA 01056-3230 - Phone
- (413) 896-0942
- NPI assigned
- Sep 8, 2025
- Last updated
- Sep 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA104894 | FL | Primary |
Addresses
Primary practice location
208 Reynolds St
Ludlow, MA 01056-3230
Mailing address
208 Reynolds St
Ludlow, MA 01056-3230
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA104894 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1043190259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 REYNOLDS ST",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010563230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 REYNOLDS ST",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010563230",
"telephone_number": "413-896-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRATOCHVIL",
"first_name": "JEREMY",
"middle_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA104894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ludlow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.