Active NPI
Jeffrey Lee Williamson, CMT
- Massage Therapist
- San Diego, CA
National Provider Identifier
1215514658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 48601
- Practice address
- 3945 Georgia St
San Diego, CA 92103-3504 - Phone
- (619) 372-6869
- NPI assigned
- Mar 24, 2021
- Sex
- Male
- 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 | 48601 | CA | Primary |
Addresses
Primary practice location
3945 Georgia St
San Diego, CA 92103-3504
Mailing address
3945 Georgia St
San Diego, CA 92103-3504
Phone (619) 372-6869
Other names 1
- Jeffrey Lee Williamson
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 |
|---|---|---|---|
| 48601 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1215514658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3945 GEORGIA ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033504",
"telephone_number": "619-372-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3945 GEORGIA ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033504",
"telephone_number": "619-372-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "JEFFREY",
"middle_name": "LEE",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "48601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEFFREY",
"last_name": "WILLIAMSON",
"middle_name": "LEE",
"credential": "JEFF",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.