Jessica Ivy Williams, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

49480 Issued in FL

Practice address

2750 Mall Dr Apt 331
Sarasota, FL 34231-5956

Phone

(518) 928-3711

NPI assigned

Sep 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1295922763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 MALL DR APT 331",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342315956",
            "telephone_number": "518-928-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 MALL DR APT 331",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342315956",
            "telephone_number": "518-928-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "middle_name": "IVY",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9528327",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "49480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elesia Williams, D.C.
• Erin Elizabeth Williams, OTR/L
• Helena Nicole Williams, ARNP
• Jamal Williams
• James E Williams, OMD, L.AC.
• Jessie Williams, PHD
• Kim Ann Williams, M.S.,CCC-SLP
• Leslie S. Williams, PTA
• Lynval W Williams Jr., ARNP
• Maurice Montel Williams, LPTA

• Massage Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.