Active NPI
Aleah J Jackson
- Massage Therapist
- Raeford, NC
National Provider Identifier
1215714993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16888
- Practice address
- 230 Lindsay Rd
Raeford, NC 28376-6725 - Phone
- (910) 514-6251
- NPI assigned
- Sep 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 16888 | NC | Primary |
Addresses
Primary practice location
230 Lindsay Rd
Raeford, NC 28376-6725
Mailing address
2021 Mango Cir
Fayetteville, NC 28304-2022
Phone (910) 853-2299
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 |
|---|---|---|---|
| 16888 | NC | MD | Psychiatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valor Massage | Massage Therapist | Current | Accepting new patients |
Locations
230 Lindsay Rd
Raeford, NC 28376
Phone (828) 269-6235
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.
-
- Massage Therapist
- Raeford, NC
- NPI 1558059089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1215714993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 MANGO CIR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042022",
"telephone_number": "910-853-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 LINDSAY RD",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283766725",
"telephone_number": "910-514-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ALEAH",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "16888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.