Mountain Medical Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MOUNTAIN MEDICAL MASSAGE LLC

Practice address

836 E Main St Ste 3
Medford, OR 97504-7115

Phone

(541) 450-9098

NPI assigned

Jun 25, 2024

Organization subpart

No

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

Authorized official

Name

Jessica MarvinNPI 1265196018

Title

Owner

Phone

(541) 218-6930

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica N Marvin, LMT

  • Massage Therapist
  • Medford, OR
  • NPI 1265196018
  NPD Authorized official

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1124862974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 ROGUE RIVER HWY # 1184",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975271600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 E MAIN ST STE 3",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047115",
            "telephone_number": "541-450-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MEDICAL MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "MARVIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-218-6930"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Mortellaro
• Leigh Morton
• Cortnee Ann Irene Moseman, AA, BS, CADC
• Cynthia L Mosser, FNP
• Adam M Mougey, M.D.
• Mountain Sleep Lab LLC
• Mountain View Mental Health LLC
• Chadwick Moyer
• Amber Mozurak
• Terrace R Mucha, M.D.

• All providers in Medford, OR
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.