Individual provider Active NPI

Jennifer L Cleary, LMT

  • Massage Therapist
  • Louisville, KY
National Provider Identifier
1386096063
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
167182 Issued in KY
Practice address
10306 Shelbyville Rd
Louisville, KY 40223-2914
Phone
(502) 245-7334
NPI assigned
Jul 6, 2016
Last updated
May 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X 167182 KY
Student in an Organized Health Care Education/Training Program 390200000X 167182 KY
Massage Therapist 225700000X 167182 KY Primary

Addresses

Primary practice location

10306 Shelbyville Rd
Louisville, KY 40223-2914

Mailing address

10206 Easum Rd
Louisville, KY 40299-4118

Other practice location 1

10206 Easum Rd
Louisville, KY 40299-4118
Phone (502) 417-2804

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Louisville

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
167182KYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
James Steven Mueller DC PLLC CurrentSince Sep 29, 2024 Accepting new patients
Lowe Chiropractic & Wellness, LLC CurrentSince May 10, 2020 Accepting new patients

Locations

10306 Shelbyville Rd
Louisville, KY 40223
Phone (502) 245-1334

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1386096063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10206 EASUM RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402994118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232914",
            "telephone_number": "502-245-7334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10206 Easum Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402994118",
            "country_code": "US",
            "telephone_number": "502-417-2804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "KY",
            "license": "167182",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "167182",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "167182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Louisville",
            "affiliation": "N",
            "address_1": "10306 Shelbyville Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402232914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.