Jorge Jesam, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LA10230 Issued in LA

Practice address

1170 Meadowbrook Blvd
Mandeville, LA 70471-7400

Phone

(985) 626-3641

Fax

(985) 626-3792

NPI assigned

Jun 4, 2025

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

Practice roles

Locations

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.

• Pac PT LLC

  • Physical Therapist
  • Mandeville, LA
  • NPI 1619391166
  NPD
• Rehab Partners Inc

  • Physical Therapist
  • Mandeville, LA
  • NPI 1437213139
  NPD (past)

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1437043601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 MEADOWBROOK BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717400",
            "telephone_number": "985-626-3641",
            "fax_number": "985-626-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 MEADOWBROOK BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717400",
            "telephone_number": "985-626-3641",
            "fax_number": "985-626-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESAM",
        "first_name": "JORGE",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "LA10230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Michael Jeansonne Jr., M.D.
• Madeline Jee
• Jeffrey L Schwab DDS Apdc
• Linda Daniels Jenkins, PHARMD
• Daniel K Jens, MD
• Katherine Elizabeth Jessup
• Kelly Jester, R.PH.
• Jewish Family Service
• John R. Macgregor Jr. M.D. (Apmc)
• Angela Johnson

• Massage Therapist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Massage Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.