Individual provider Active NPI

John Nagel

  • Massage Therapist
  • Juneau, AK
National Provider Identifier
1174165872
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
113233 Issued in AK
Practice address
3220 Hospital Dr
Juneau, AK 99801-7899
Phone
(907) 364-2663
NPI assigned
Oct 14, 2019
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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 113233 AK Primary

Addresses

Primary practice location

3220 Hospital Dr
Juneau, AK 99801-7899

Mailing address

3220 Hospital Dr
Juneau, AK 99801-7899
Phone (907) 364-2663

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
113233AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Juneau Aesthetics & Wellness LLC CurrentSince Sep 14, 2025 Accepting new patients
Juneau Bone & Joint Center, LLC. PastSince Oct 20, 2019 Accepting new patients

Locations

3220 Hospital Dr
Juneau, AK 99801
Phone (907) 364-2663

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1174165872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 HOSPITAL DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017899",
            "telephone_number": "907-364-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 HOSPITAL DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017899",
            "telephone_number": "907-364-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "113233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.