Active NPI
Jennifer Fogler, LMT
- Massage Therapist
- Cave Junction, OR
National Provider Identifier
1568095941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 24203
- Practice address
- 9335 Takilma Rd
Cave Junction, OR 97523-9831 - Phone
- (541) 415-2024
- NPI assigned
- Feb 13, 2020
- 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 | 24203 | OR | Primary |
Addresses
Primary practice location
9335 Takilma Rd
Cave Junction, OR 97523-9831
Mailing address
PO Box 2655
Cave Junction, OR 97523-2655
Phone (541) 415-2024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24203 | Other | OR | LMT# |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jennholisticpath@gmail.com |
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 |
|---|---|---|---|
| 24203 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1568095941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2655",
"city": "CAVE JUNCTION",
"state": "OR",
"postal_code": "975232655",
"telephone_number": "541-415-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9335 TAKILMA RD",
"city": "CAVE JUNCTION",
"state": "OR",
"postal_code": "975239831",
"telephone_number": "541-415-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGLER",
"first_name": "JENNIFER",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "24203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT#",
"identifier": "24203",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jennholisticpath@gmail.com",
"affiliation": "N",
"address_1": "9335 Takilma Rd",
"city": "Cave Junction",
"state": "OR",
"country_code": "US",
"postal_code": "975239831",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cave Junction, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.