Individual provider Active NPI

Jessica Marie Taylor, LMBT

  • Massage Therapist
  • Raleigh, NC
National Provider Identifier
1235047085
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
16577 Issued in NC
Practice address
8358 Six Forks Rd Ste 204
Raleigh, NC 27615-5093
Phone
(919) 413-2294
NPI assigned
Sep 1, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 16577 NC Primary

Addresses

Primary practice location

8358 Six Forks Rd Ste 204
Raleigh, NC 27615-5093

Mailing address

6549 New Market Way
Raleigh, NC 27615-6829

Other practice location 1

1906 NC-54
#100e
Durham, NC 27713
Phone (919) 480-1780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1235047085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 NEW MARKET WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8358 SIX FORKS RD STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155093",
            "telephone_number": "919-413-2294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 NC-54",
            "address_2": "#100e",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27713",
            "country_code": "US",
            "telephone_number": "919-480-1780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "16577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.