Active NPI
Jill Christian Thunberg, LMT
- Massage Therapist
- Jax BCH, FL
National Provider Identifier
1043468705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA28064
- Practice address
- 2320 3Rd St S
Suite 1
Jax BCH, FL 32250-4058 - Phone
- (904) 962-3509
- NPI assigned
- Sep 5, 2008
- Sex
- Female
- Sole proprietor
- No
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 | MA28064 | FL | Primary |
Addresses
Primary practice location
2320 3Rd St S
Suite 1
Jax BCH, FL 32250-4058
Mailing address
2320 3Rd St S
Suite 1
Jax BCH, FL 32250-4058
Phone (904) 962-3509
Other names 1
- Jill Christian Jones
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 |
|---|---|---|---|
| MA28064 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1043468705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 3RD ST S",
"address_2": "SUITE 1",
"city": "JAX BCH",
"state": "FL",
"postal_code": "322504058",
"telephone_number": "904-962-3509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 3RD ST S",
"address_2": "SUITE 1",
"city": "JAX BCH",
"state": "FL",
"postal_code": "322504058",
"telephone_number": "904-962-3509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THUNBERG",
"first_name": "JILL",
"middle_name": "CHRISTIAN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA28064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "JONES",
"middle_name": "CHRISTIAN",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jax BCH, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.