Active NPI
Megan Kenzie Ollis, NC LMBT
- Massage Therapist
- Jefferson, NC
National Provider Identifier
1609589688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15736
- Practice address
- 203B Long St
Jefferson, NC 28640-9518 - Phone
- (336) 620-7125
- NPI assigned
- Jan 4, 2023
- 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 | 15736 | NC | Primary |
Addresses
Primary practice location
203B Long St
Jefferson, NC 28640-9518
Mailing address
2007A Ben Bolen Rd
Creston, NC 28615-9518
Phone (336) 620-7125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | NOT AVAILABLE |
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 |
|---|---|---|---|
| 15736 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1609589688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007A BEN BOLEN RD",
"city": "CRESTON",
"state": "NC",
"postal_code": "286159518",
"telephone_number": "336-620-7125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203B LONG ST",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "286409518",
"telephone_number": "336-620-7125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLLIS",
"first_name": "MEGAN",
"middle_name": "KENZIE",
"name_prefix": "Mrs.",
"credential": "NC LMBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "15736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, NC
- Angel Nelson, MS EDS LCMHCS BC-TMH
- New River Mental Health Center (New River Behavioral HealthCare)
- New River Service Authority (New River Behavioral HealthCare)
- New River Service Authority (New River Behavioral HealthCare)
- Novant Medical Group Inc (Novant Health Ashe Cardiology)
- Orthocarolina, PA
- Hannah Copeland Osborne, MS CCC-SLP
- Sebrina Phillips, RN, NP-C
- Latricia Dawn Pickett
- Kyle Price
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.