Active NPI
Jing Song, M.T.
- Massage Therapist
- Highlands Ranch, CO
National Provider Identifier
1407219926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0018525
- Practice address
- 537 W Highlands Ranch Pkwy Ste 112
Highlands Ranch, CO 80129-6951 - Phone
- (303) 471-0888
- NPI assigned
- Apr 1, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 0018525 | CO | Primary |
Addresses
Primary practice location
537 W Highlands Ranch Pkwy Ste 112
Highlands Ranch, CO 80129-6951
Mailing address
9688 Autumnwood PL
Highlands Ranch, CO 80129-5772
Phone (303) 471-0888
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0018525 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lei Acupuncture and Massage LLC. | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1407219926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9688 AUTUMNWOOD PL",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801295772",
"telephone_number": "303-471-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 W HIGHLANDS RANCH PKWY STE 112",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801296951",
"telephone_number": "303-471-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "JING",
"credential": "M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0018525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.