Active NPI
Steven John Jackson, LMT
- Massage Therapist
- Pomeroy, WA
National Provider Identifier
1255224960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2171967
- Practice address
- 256 13TH St
Pomeroy, WA 99347-1301 - Phone
- (509) 844-8189
- NPI assigned
- Jun 2, 2025
- Last updated
- Jun 2, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61679087 | WA | |
| Massage Therapist | 225700000X | 2171967 | ID | Primary |
Addresses
Primary practice location
256 13TH St
Pomeroy, WA 99347-1301
Mailing address
PO Box 887
Pomeroy, WA 99347-0887
Phone (509) 844-5071
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 |
|---|---|---|---|
| 2171967 | ID | MD | Massage Therapist |
| MA61679087 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1255224960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 887",
"city": "POMEROY",
"state": "WA",
"postal_code": "993470887",
"telephone_number": "509-844-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 13TH ST",
"city": "POMEROY",
"state": "WA",
"postal_code": "993471301",
"telephone_number": "509-844-8189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "STEVEN",
"middle_name": "JOHN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-02",
"certification_date": "2025-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61679087",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": "2171967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomeroy, WA
- Garfield County Memorial Hospital District (Garfield County Memorial Hospital and LTC)
- Garfield County Memorial Hospital Radiology
- Garfield County Public Hospital District #1
- Suzanne M Grove, ARNP
- Jonathan Harker, PT
- Natalie Kirksey, MSW
- Janique Jade Lakey, NA
- Brian Alan Mabry, BRIAN MABRY
- Joshua Levi Mayfield, PA-C
- Olivia Jane Murdock
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.