Oteka E Jenkins, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00015056 Issued in WA

Practice address

3627 Wheaton Way
Ste 105a
Bremerton, WA 98310-3545

Phone

(360) 377-3601

Fax

(360) 373-9494

NPI assigned

Mar 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Marilyn Kay Rose

  • Massage Therapist
  • Bremerton, WA
  • NPI 1588709778
  NPD (past)

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114059615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 WHEATON WAY",
            "address_2": "STE 105A",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103545",
            "telephone_number": "360-377-3601",
            "fax_number": "360-373-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 WHEATON WAY",
            "address_2": "STE 105A",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103545",
            "telephone_number": "360-377-3601",
            "fax_number": "360-373-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "OTEKA",
        "middle_name": "E",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0156398",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KPS",
            "identifier": "91-211509104",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MASSAGE LICENSE",
            "identifier": "MA00015056",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jenkins
• Janae Jenkins, ATC, CSCS
• Joshua Jenkins, LMP
• Lailey Jenkins, LICSW
• Megan Jenkins, LMT
• Jennifer Cote LLC
• Jennifer W. Carl, M.D.,PC
• Douglas L. Jennings, D.O.
• Megan Alice Jennings
• Samantha Jennings, FNP-C DNP

• Massage Therapist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.