Aesculap Therapeutic & Sports Massage, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT00416500 Issued in NJ

Legal business name

AESCULAP THERAPEUTIC & SPORTS MASSAGE, LLC

Practice address

1901 N Olden Avenue Ext
Suite 4
Ewing, NJ 08618-2111

Phone

(609) 771-0476

NPI assigned

Aug 31, 2011

Last updated

Feb 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ursula Schmidt-Jordan, LBMTNPI 1730468687

Title

Therapeutic Massage Practitioner

Phone

(609) 771-0476

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ursula Schmidt-Jordan, LBMT

  • Massage Therapist
  • Ewing, NJ
  • NPI 1730468687
  NPD (past) Authorized official

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1053692376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT",
            "address_2": "SUITE 4",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-771-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT",
            "address_2": "SUITE 4",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-771-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESCULAP THERAPEUTIC & SPORTS MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT-JORDAN",
        "authorized_official_first_name": "URSULA",
        "authorized_official_title_or_position": "THERAPEUTIC MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "609-771-0476",
        "authorized_official_credential": "LBMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00416500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12360257",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730468687",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Massage Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.