Individual provider Active NPI

Jade Pilgrom, CMT

  • Massage Therapist
  • North Hollywood, CA
National Provider Identifier
1396638003
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
99270 Issued in CA
Practice address
6225 Coldwater Canyon Ave Unit 205
North Hollywood, CA 91606-3003
Phone
(205) 240-5197
NPI assigned
May 31, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 99270 CA Primary

Addresses

Primary practice location

6225 Coldwater Canyon Ave Unit 205
North Hollywood, CA 91606-3003

Mailing address

6225 Coldwater Canyon Ave Unit 205
North Hollywood, CA 91606-3003
Phone (205) 240-5197

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

NPI Registry JSON

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

{
    "created_epoch": "1748649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1396638003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 COLDWATER CANYON AVE UNIT 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063003",
            "telephone_number": "205-240-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 COLDWATER CANYON AVE UNIT 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063003",
            "telephone_number": "205-240-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILGROM",
        "first_name": "JADE",
        "name_prefix": "Ms.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "99270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; 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.