Individual provider Active NPI

Jennifer Schriefer Williams, LMT

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1104222702
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0025616 Issued in CO
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

Updated by the provider on May 6, 2024

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 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

LicenseStateTypeSpecialty
0025616COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Physical Therapy Wellness Center CurrentSince Nov 18, 2024 Accepting new patients
Active Chiropractic Wellness Center PastSince May 12, 2024 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.

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.

Verify at the official NPI Registry.