Individual provider Active NPI

Jessica Davis, LMT

  • Massage Therapist
  • Ringtown, PA
National Provider Identifier
1609699701
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG015396 Issued in PA
Practice address
392 W Apple St Ste 3
Ringtown, PA 17967-9448
Phone
(570) 212-9191
NPI assigned
Nov 6, 2024
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MSG015396 PA Primary

Addresses

Primary practice location

392 W Apple St Ste 3
Ringtown, PA 17967-9448

Mailing address

393 Locust LN
Catawissa, PA 17820-8246
Phone (570) 212-9191

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

LicenseStateTypeSpecialty
MSG015396PAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Rose Bodywork, LLC Massage Therapist CurrentSince Nov 10, 2024 Accepting new patients

Locations

392 W Apple St
Ste 3
Ringtown, PA 17967
Phone (570) 212-9191

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1609699701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 LOCUST LN",
            "city": "CATAWISSA",
            "state": "PA",
            "postal_code": "178208246",
            "telephone_number": "570-212-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 W APPLE ST STE 3",
            "city": "RINGTOWN",
            "state": "PA",
            "postal_code": "179679448",
            "telephone_number": "570-212-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSICA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG015396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.