Matthew C Jolley, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0018908 Issued in CO

Practice address

514 28 1/4 Rd Unit 1
Grand Junction, CO 81501-4961

Phone

(970) 242-8162

NPI assigned

Apr 25, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Brady Chiropratic Group PC

  • Chiropractor
  • Grand Junction, CO
  • NPI 1518160365
  NPD (past)

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1366006256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S ELM ST APT 5",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212630",
            "telephone_number": "970-639-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 28 1/4 RD UNIT 1",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815014961",
            "telephone_number": "970-242-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLEY",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0018908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DIVISION OF REGULATORY AGENCIES",
            "identifier": "0018908",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Johnson
• January M Johnston, MSPT
• Judith Helen Johnston, LCSW
• Bryan Jolley, MT
• Laura Jolley
• Richard Keaton Jolley, DMD
• Tyler H Jolley, DMD
• Jona Bollinger, MPT
• Jones Mental Health Management LLC
• Kristin M Jones-Chillemi, R.N., CDE

• Massage Therapist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.