Individual provider Active NPI

Jamie Bolton Lazzeri, CMT

  • Massage Therapist
  • Springfield, VA
National Provider Identifier
1124962519
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019007367 Issued in VA
Practice address
8107 Lake Pleasant Dr
Springfield, VA 22153-3008
Phone
(571) 409-9201
NPI assigned
Apr 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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 0019007367 VA Primary

Addresses

Primary practice location

8107 Lake Pleasant Dr
Springfield, VA 22153-3008

Mailing address

8107 Lake Pleasant Dr
Springfield, VA 22153-3008
Phone (571) 409-9201

Other names 1

  • Jamie Hisako Bolton Former name

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
0019007367VAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1124962519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8107 LAKE PLEASANT DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221533008",
            "telephone_number": "571-409-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8107 LAKE PLEASANT DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221533008",
            "telephone_number": "571-409-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZZERI",
        "first_name": "JAMIE",
        "middle_name": "BOLTON",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019007367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "BOLTON",
            "middle_name": "HISAKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.