Active NPI
Tia Jones, LMP
- Massage Therapist
- Everett, WA
National Provider Identifier
1124257092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- WA MA60057651
- Practice address
- 3903 Colby Ave
Everett, WA 98201-4926 - Phone
- (425) 258-2325
- NPI assigned
- Jul 13, 2009
- 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 | WA MA60057651 | WA | Primary |
Addresses
Primary practice location
3903 Colby Ave
Everett, WA 98201-4926
Mailing address
16723 1St Ave SE
Bothell, WA 98012-5904
Phone (425) 760-6090
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 |
|---|---|---|---|
| WA MA60057651 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Jodi Bergs Integrative Family Health Clinic | Past | Accepting new patients |
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.
-
- Non-Pharmacy Dispensing Site
- Everett, WA
- NPI 1700162302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1124257092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16723 1ST AVE SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980125904",
"telephone_number": "425-760-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014926",
"telephone_number": "425-258-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TIA",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-13",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "WA MA60057651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.