Joseph Edward Jarrell Jr., LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

20062167

Practice address

5402 Maccorkle Ave SE
Body Tranquil LLC
Charleston, WV 25304-2224

Phone

(304) 395-3865

NPI assigned

Mar 19, 2007

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

Other identifiers 1

Other names 1

• Mr. Joseph Jarrell Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1366566754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 MACCORKLE AVE SE",
            "address_2": "BODY TRANQUIL LLC",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042224",
            "telephone_number": "304-395-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 MACCORKLE AVE SE",
            "address_2": "BODY TRANQUIL LLC",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042224",
            "telephone_number": "304-395-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRELL",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "20062167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00182342",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "JARRELL",
            "prefix": "MR.",
            "suffix": "JR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angla Jarrell
• Candice Rhiannon Jarrell, FNP
• Daniel Matthew Jarrell
• Gregory Jarrell, D.O.
• Joseph Jarrell, MD
• Katherine Lee Jarrell, PHARMD
• Marcus Rodney Jarrell, DO
• Miranda Jarrell
• Samantha Marie Jarrell
• Shabrina Jarrell, MD

• All providers in Charleston, WV
• Massage Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.