Anthony G. Jongejan, MMP, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT002240 Issued in GA

Practice address

664 Scranton Rd
Ste 101
Brunswick, GA 31520-1945

Phone

(912) 577-3991

NPI assigned

Apr 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Modern Medical Massage, LLC

  • Specialist
  • Brunswick, GA
  • NPI 1952623704
  NPD (past)

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1275707804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WELLINGTON PL",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315237067",
            "telephone_number": "912-577-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 SCRANTON RD",
            "address_2": "STE 101",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201945",
            "telephone_number": "912-577-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONGEJAN",
        "first_name": "ANTHONY",
        "middle_name": "G.",
        "credential": "MMP, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT002240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis M Jones, L.P.N
• Jack Jones, HIS
• James Kenneth Jones, AA-C
• Mitchell Taylor Jones, M.D.
• Steven Jones, CRNA
• Bobby Jean Jopling, M. ED., CCC-SLP
• Tara Leigh Jordan, O.D.
• Amanda Grounds Joseph, MD
• Jason Michael Joseph, MD
• Natasha Jovin, L-314482

• Massage Therapist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.