Active NPI
Jennifer Schriefer Williams, LMT
- Massage Therapist
- Colorado Springs, CO
National Provider Identifier
1104222702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0025616
- Practice address
- 2790 N. Academy Blvd.
Active Chiropractice Wellness Center Unit 110
Colorado Springs, CO 80917 - Phone
- (719) 636-3080
- NPI assigned
- Nov 7, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0025616 | CO | Primary |
Addresses
Primary practice location
2790 N. Academy Blvd.
Active Chiropractice Wellness Center Unit 110
Colorado Springs, CO 80917
Mailing address
6464 Gemstone Way
Colorado Springs, CO 80918
Phone (510) 274-7336
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 |
|---|---|---|---|
| 0025616 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Physical Therapy Wellness Center | Current | Accepting new patients | |
| Active Chiropractic Wellness Center | Past | Accepting new patients |
Locations
2790 N Academy Blvd
Ste 110
Colorado Springs, CO 80917
Phone (719) 636-3080
Organizations & group practices 2
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.
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1932924602
-
- Chiropractor
- Colorado Springs, CO
- NPI 1548348956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1104222702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6464 GEMSTONE WAY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80918",
"telephone_number": "510-274-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 N. ACADEMY BLVD.",
"address_2": "ACTIVE CHIROPRACTICE WELLNESS CENTER UNIT 110",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80917",
"telephone_number": "719-636-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRIEFER WILLIAMS",
"first_name": "JENNIFER",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-07",
"last_updated": "2024-05-06",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0025616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.