Jason Shivers, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8452 Issued in AR

Practice address

1301 Scott St
Suite 11
Little Rock, AR 72202-5051

Phone

(501) 396-9184

NPI assigned

Apr 30, 2017

Sex

Male

Sole proprietor

No

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": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493510400000",
    "number": "1417482233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 W CHARLES BUSSEY AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061110",
            "telephone_number": "501-258-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SCOTT ST",
            "address_2": "SUITE 11",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722025051",
            "telephone_number": "501-396-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVERS",
        "first_name": "JASON",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-30",
        "last_updated": "2017-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AR",
            "license": "8452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Russell Shipp, DC
• Justin Scott Shipp, ATC, CSCS
• Tracey S Shipp, M.S.
• Sarah Irene Shirley, APRN
• Steven Shirm, MD
• Deepa Shivnani, MBBS, DNB, ENT, MD
• Shawn Shoham, DO
• Sierra Ashley Shoham, DO
• Keith Sholes
• Ellen Shollmier, CRNA

• Massage Therapist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Massage Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; 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.