Active NPI
John Philip Ezaki, CMT,LMT
- Massage Therapist
- Allentown, PA
National Provider Identifier
1427320365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG003447
- Practice address
- 1600 Lehigh Pkwy E
10L
Allentown, PA 18103-3000 - Phone
- (610) 434-1975
- NPI assigned
- Feb 8, 2012
- Last updated
- Feb 8, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | MSG003447 | PA | Primary |
Addresses
Primary practice location
1600 Lehigh Pkwy E
10L
Allentown, PA 18103-3000
Mailing address
1600 Lehigh Pkwy E
10L
Allentown, PA 18103-3000
Phone (610) 434-1975
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
| License | State | Type | Specialty |
|---|---|---|---|
| MSG003447 | PA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1427320365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 LEHIGH PKWY E",
"address_2": "10L",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033000",
"telephone_number": "610-434-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 LEHIGH PKWY E",
"address_2": "10L",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033000",
"telephone_number": "610-434-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZAKI",
"first_name": "JOHN",
"middle_name": "PHILIP",
"name_prefix": "Mr.",
"credential": "CMT,LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-08",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG003447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
- Express Care Pharmacy LLC (Express Care Pharmacy)
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- Extremity MRI Inc (Extremity Imaging Partners)
- Eye 2 Eye, PC
- Ez Stop Wheelchair Brake Systems, LLC
- Dale James Ezrow, LCSW
- Michele Post Ezrow, LCSW
- Mary Patricia Fabian, M.D.
- Sunshine Fachet, MS OTR/L
- Hagar Fadel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.