Individual provider Active NPI

Jenessa Lynn Wright, LMT

  • Massage Therapist
  • Virginia Beach, VA
National Provider Identifier
1295517001
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019017738 Issued in VA
Practice address
2830 Virginia Beach Blvd
Virginia Beach, VA 23452-7614
Phone
(757) 416-6700
Fax
(757) 416-7777
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019017738 VA Primary

Addresses

Primary practice location

2830 Virginia Beach Blvd
Virginia Beach, VA 23452-7614

Mailing address

1340 N Great Neck Rd # 1272-182
Virginia Beach, VA 23454-2268
Phone (757) 416-6700

Other practice location 1

1320 Kempsville Rd
Virginia Beach, VA 23464-6102
Phone (757) 416-6700

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

LicenseStateTypeSpecialty
0019017738VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Proactive Health CurrentSince Oct 22, 2023 Accepting new patients

Locations

1320 Kempsville Rd
Virginia Beach, VA 23464
Phone (757) 416-6700

2830 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 364-0067

1340 N Great Neck Rd
Virginia Beach, VA 23454
Phone (757) 416-6700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1295517001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N GREAT NECK RD # 1272-182",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542268",
            "telephone_number": "757-416-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527614",
            "telephone_number": "757-416-6700",
            "fax_number": "757-416-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Kempsville Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234646102",
            "country_code": "US",
            "telephone_number": "757-416-6700",
            "fax_number": "757-416-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JENESSA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019017738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.