Active NPI
Jeremy Marcell Lewis, LMT
- Massage Therapist
- Desert Hot Springs, CA
National Provider Identifier
1366943748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 63084
- Practice address
- 66555 4TH St Apt 24
Desert Hot Springs, CA 92240-3234 - Phone
- (214) 482-5407
- Fax
- (214) 482-5407
- NPI assigned
- Feb 22, 2018
- Last updated
- Feb 22, 2018
- Sex
- Male
- 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 | 63084 | CA | Primary |
Addresses
Primary practice location
66555 4TH St Apt 24
Desert Hot Springs, CA 92240-3234
Mailing address
66555 4TH St Apt 24
Desert Hot Springs, CA 92240-3234
Phone (214) 482-5407
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 |
|---|---|---|---|
| 63084 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1366943748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66555 4TH ST APT 24",
"city": "DESERT HOT SPRINGS",
"state": "CA",
"postal_code": "922403234",
"telephone_number": "214-482-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66555 4TH ST APT 24",
"city": "DESERT HOT SPRINGS",
"state": "CA",
"postal_code": "922403234",
"telephone_number": "214-482-5407",
"fax_number": "214-482-5407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JEREMY",
"middle_name": "MARCELL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-22",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "63084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desert Hot Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.