Active NPI
Jodi Marie McClain, L.M.T.
- Massage Therapist
- Muskegon, MI
National Provider Identifier
1093050593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501002413
- Practice address
- 103 W Clay Ave
Muskegon, MI 49440-1210 - Phone
- (231) 670-9038
- NPI assigned
- Dec 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA-8132 | MA | |
| Massage Therapist | 225700000X | 7501002413 | MI | Primary |
Addresses
Primary practice location
103 W Clay Ave
Muskegon, MI 49440-1210
Mailing address
103 W Clay Ave
Muskegon, MI 49440-1210
Phone (231) 670-9038
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 |
|---|---|---|---|
| MA-8132 | MA | MD | Massage Therapist |
| 7501002413 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1093050593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W CLAY AVE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494401210",
"telephone_number": "231-670-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W CLAY AVE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494401210",
"telephone_number": "231-670-9038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "JODI",
"middle_name": "MARIE",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-10",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "MA-8132",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501002413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.