Active NPI
Jessica E Pizzo, LMT
- Massage Therapist
- Freeport, ME
National Provider Identifier
1275879116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT4989
- Practice address
- 475 US Route 1
Freeport, ME 04032-7019 - Phone
- (207) 391-2952
- NPI assigned
- Dec 21, 2012
- Last updated
- Dec 21, 2012
- 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 | MT4989 | ME | Primary |
Addresses
Primary practice location
475 US Route 1
Freeport, ME 04032-7019
Mailing address
27 Lowell St Apt 2
Portland, ME 04102-2733
Phone (207) 391-2952
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 |
|---|---|---|---|
| MT4989 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1275879116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 LOWELL ST APT 2",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022733",
"telephone_number": "207-391-2952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 US ROUTE 1",
"city": "FREEPORT",
"state": "ME",
"postal_code": "040327019",
"telephone_number": "207-391-2952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIZZO",
"first_name": "JESSICA",
"middle_name": "E",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-21",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT4989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeport, ME
- Douglas E Patrick, LCSW, JD
- Peregrine Acupuncture
- Katherine C Perrin, LMSW-CC
- Sheena Petrillo, OT
- Pinnacle Rehabilitation Network LLC (Waypoint Physical Therapy)
- Stephanie H Pontti, LCPC
- Portland Community Health Center
- Portland Community Health Center
- Portland Community Health Center (Greater Portland Health)
- Portland Community Health Center (Greater Portland Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.