Active NPI
Ashley Rhena Dixon
- Massage Therapist
- Jackson, MS
National Provider Identifier
1467224147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 5360 I 55 N Ste 111
Jackson, MS 39211-4056 - Phone
- (404) 735-6947
- NPI assigned
- Oct 25, 2023
- Last updated
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2522 | MS | |
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
5360 I 55 N Ste 111
Jackson, MS 39211-4056
Mailing address
5859 Ferncreek Dr
Jackson, MS 39211-3237
Phone (404) 735-6947
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 |
|---|---|---|---|
| 2522 | MS | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilient Therapeutics LLC | Single Specialty | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1467224147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5859 FERNCREEK DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392113237",
"telephone_number": "404-735-6947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5360 I 55 N STE 111",
"city": "JACKSON",
"state": "MS",
"postal_code": "392114056",
"telephone_number": "404-735-6947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "ASHLEY",
"middle_name": "RHENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-25",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MS",
"license": "2522",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.