Tia M Jimmerson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0010095 Issued in CO

Practice address

33 W 17TH St
New York, NY 10011-5511

Phone

(877) 438-9335

NPI assigned

Jan 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1396451217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 INVERNESS DR S APT 7301",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801126193",
            "telephone_number": "808-800-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 17TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115511",
            "telephone_number": "877-438-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMMERSON",
        "first_name": "TIA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0010095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Jimenez
• Vicki Jimenez
• William Marquez Jimenez, MD
• Yadira Jimenez
• Yelisa Jimenez
• Jimmy C. Sung, MD, PLLC
• Jimmy Chan MD PLLC
• Jimmy Wong M.D., P.L.L.C.
• Jin Acupuncture Therapy PLLC (Jin Acupuncture & Beauty Clinic)
• Jin Care Physical Therapy P.C.

• Massage Therapist in New York, NY
• Providers in New York, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.