Active NPI
Jerome Louie Thomas
- Reflexologist
- Mesa, AZ
National Provider Identifier
1588905640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- MT-00485-P
- Practice address
- 86 W University Dr Ste 101
Mesa, AZ 85201-5856 - Phone
- (602) 538-9084
- NPI assigned
- Mar 13, 2013
- Last updated
- Mar 13, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Reflexologist | 173C00000X | MT-00485-P | AZ | Primary |
Addresses
Primary practice location
86 W University Dr Ste 101
Mesa, AZ 85201-5856
Mailing address
86 W University Dr Ste 101
Mesa, AZ 85201-5856
Phone (602) 538-9084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17 | Other | AZ | LICENSED MASSAGE THERAPIST |
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 |
|---|---|---|---|
| MT-00485-P | AZ | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1588905640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 W UNIVERSITY DR STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852015856",
"telephone_number": "602-538-9084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 W UNIVERSITY DR STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852015856",
"telephone_number": "602-538-9084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JEROME",
"middle_name": "LOUIE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-13",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "AZ",
"license": "MT-00485-P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASSAGE THERAPIST",
"identifier": "17",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.