Jodi Rochelle Adams, LMT

Individual provider Active NPI Massage Therapist · Barboursville, WV

NPI 1508908823 · NPPES record last updated Feb 12, 2008

Key facts

NPI
1508908823
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
20062203 (WV)
Practice address
6475 Farndale Rd
Barboursville, WV 25504
Phone
(304) 733-6333
Fax
(304) 733-6388
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
20062203WVMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 20062203 WV Yes

Addresses

Primary practice location

6475 Farndale Rd
Barboursville, WV 25504

Mailing address

6460 Farmdale Rd
Barboursville, WV 25504-1330
Phone (304) 654-4863

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 12, 2008.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1508908823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 FARMDALE RD",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041330",
            "telephone_number": "304-654-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 FARNDALE RD",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "25504",
            "telephone_number": "304-733-6333",
            "fax_number": "304-733-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JODI",
        "middle_name": "ROCHELLE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "20062203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

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Sources for this page

Verify at the official NPI Registry.