Active NPI
Jessica N Marvin, LMT
- Massage Therapist
- Medford, OR
National Provider Identifier
1265196018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 26549
- Practice address
- 836 E Main St Ste 3
Medford, OR 97504-7115 - Phone
- (541) 450-9098
- NPI assigned
- Oct 27, 2021
- Sex
- Female
- 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 | 26549 | OR | Primary |
Addresses
Primary practice location
836 E Main St Ste 3
Medford, OR 97504-7115
Mailing address
233 Rogue River Hwy # 1184
Grants Pass, OR 97527-1600
Phone (541) 450-9098
Other practice location 1
333 SW 5th St Ste B
Grants Pass, OR 97526-2509
Phone (541) 507-9894
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 |
|---|---|---|---|
| 26549 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Medical Massage LLC | Massage Therapist | Current | Accepting new patients |
| Axis Health, Inc. | Massage Therapist | Current | Accepting new patients |
| Ryan Baker, D.C. P.C. | Current | Accepting new patients |
Locations
333 SW 5th St
Ste B
Grants Pass, OR 97526
Phone (541) 471-0397
233 Rogue River Hwy
Grants Pass, OR 97527
836 E Main St
Ste 3
Medford, OR 97504
Phone (541) 450-9098
Organizations & group practices 3
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
- Medford, OR
- NPI 1124862974
-
- Chiropractor
- Grants Pass, OR
- NPI 1336203835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1265196018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 ROGUE RIVER HWY # 1184",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975271600",
"telephone_number": "541-450-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 E MAIN ST STE 3",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047115",
"telephone_number": "541-450-9098"
}
],
"practiceLocations": [
{
"address_1": "333 SW 5th St Ste B",
"address_purpose": "LOCATION",
"city": "Grants Pass",
"state": "OR",
"postal_code": "975262509",
"country_code": "US",
"telephone_number": "541-507-9894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARVIN",
"first_name": "JESSICA",
"middle_name": "N",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-27",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "26549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.