Active NPI
Amanda Rita Jackson
- Massage Therapist
- Fresno, CA
National Provider Identifier
1477461861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 87507
- Practice address
- 1420 W Shaw Ave Ste a
Fresno, CA 93711-3612 - Phone
- (559) 521-3321
- NPI assigned
- Aug 28, 2026
- Last updated
- Aug 28, 2026
- 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 | 87507 | CA | Primary |
Addresses
Primary practice location
1420 W Shaw Ave Ste a
Fresno, CA 93711-3612
Mailing address
1890 Centennial Dr Apt 114
Hanford, CA 93230-9378
Phone (559) 521-3321
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Healing Therapy 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Massage Therapist
- Fresno, CA
- NPI 1013826445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1477461861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 CENTENNIAL DR APT 114",
"city": "HANFORD",
"state": "CA",
"postal_code": "932309378",
"telephone_number": "559-521-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 W SHAW AVE STE A",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113612",
"telephone_number": "559-521-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "AMANDA",
"middle_name": "RITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "87507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.