Jennifer Marie Adams, LMT

Individual provider Active NPI Massage Therapist · Lowville, NY

NPI 1609427467 · NPPES record last updated Sep 24, 2019

Key facts

NPI
1609427467
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
028552-1 (NY)
Practice address
7383 Utica Blvd
Lowville, NY 13367-9503
Phone
(315) 376-2256
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
Yes

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.

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
028552-1NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Open Sky Wellness, LLC Massage Therapist Current
since Jul 24, 2022
Accepting new patients
Open Sky Healing Arts Center LLC Massage Therapist Past
since Sep 29, 2019
Accepting new patients

Locations

7383 Utica Blvd
Lowville, NY 13367
Phone (315) 376-2256

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 028552-1 NY Yes

Addresses

Primary practice location

7383 Utica Blvd
Lowville, NY 13367-9503

Mailing address

PO Box 73
Thendara, NY 13472-0073

Other providers in Lowville, NY

All providers in Lowville, NY · Massage Therapist in New York

Sources for this page

Verify at the official NPI Registry.