Active NPI
Jill Motz, LMT, CDT, MLDT
- Massage Therapist
- Wasilla, AK
National Provider Identifier
1497058655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 101861
- Practice address
- 1700 E Bogard Rd Ste A203
Wasilla, AK 99654 - Phone
- (907) 727-2596
- Fax
- (866) 735-0985
- NPI assigned
- Dec 9, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 101861 | AK | Primary |
Addresses
Primary practice location
1700 E Bogard Rd Ste A203
Wasilla, AK 99654
Mailing address
1700 E Bogard Rd Ste A203
Wasilla, AK 99654-6569
Phone (907) 727-2596
Other practice location 1
5620 E Beaver Ave
Wasilla, AK 99654-4633
Phone (907) 727-2596
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 |
|---|---|---|---|
| 101861 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Waters Physical Therapy LLC | Past | Accepting new patients | |
| Lifetouch Massage and Wellness, LTD | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Massage Therapist
- Wasilla, AK
- NPI 1124499231
-
- Physical Therapy Clinic/Center
- Palmer, AK
- NPI 1871145995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1497058655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 E BOGARD RD STE A203",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546569",
"telephone_number": "907-727-2596",
"fax_number": "866-735-0985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E BOGARD RD STE A203",
"city": "WASILLA",
"state": "AK",
"postal_code": "99654",
"telephone_number": "907-727-2596",
"fax_number": "866-735-0985"
}
],
"practiceLocations": [
{
"address_1": "5620 E Beaver Ave",
"address_purpose": "LOCATION",
"city": "Wasilla",
"state": "AK",
"postal_code": "996544633",
"country_code": "US",
"telephone_number": "907-727-2596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOTZ",
"first_name": "JILL",
"credential": "LMT, CDT, MLDT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-09",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "101861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.