Individual provider Active NPI

Jennifer Elizabeth Davies, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1083593248
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
70020549 Issued in WA
Practice address
1508 Broadway St
Vancouver, WA 98663-3434
Phone
(360) 635-3477
NPI assigned
Aug 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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 70020549 WA Primary

Addresses

Primary practice location

1508 Broadway St
Vancouver, WA 98663-3434

Mailing address

621 SE 168TH Ave Apt D51
Vancouver, WA 98684-9205
Phone (916) 617-7703

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
70020549WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Vancouver Massage, LLC Massage Therapist CurrentSince Sep 3, 2025 Accepting new patients

Locations

1508 Broadway St
Vancouver, WA 98663
Phone (360) 635-3477

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1756512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1083593248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SE 168TH AVE APT D51",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986849205",
            "telephone_number": "916-617-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633434",
            "telephone_number": "360-635-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-30",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "70020549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.