Jesse Ferrell, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-04127P Issued in AZ

Practice address

4700 N Central Ave
Suite 116
Phoenix, AZ 85012-1719

Phone

(602) 573-1309

NPI assigned

Mar 16, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Az Massage Spa

  • Massage Therapist
  • Phoenix, AZ
  • NPI 1770826067
  NPD (past) Authorized official

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1043585565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W MONROE ST",
            "address_2": "# 1401",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850034553",
            "telephone_number": "602-573-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CENTRAL AVE",
            "address_2": "SUITE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121719",
            "telephone_number": "602-573-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "JESSE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-04127P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "MTY-04127P",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis Ferrari, M.D,
• Christina Renee Ferraro, M.D.
• Malin Hope Ferre, PA-C
• Patricia Gayle Ferree, LAC
• Connie Ferrell
• Melissa Ferrell, PMHNP-BC
• Xochitl Ferrer Vera, CD
• Helen Tagormacon Ferrer-Irwin
• Kristel Ferrer, OTD, OTR/L
• Francesca Ferri, MD

• All providers in Phoenix, AZ
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.