Active NPI
Jaime Annette McNeill, L.M.T.
- Massage Therapist
- Tulsa, OK
National Provider Identifier
1619142643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M5025
- Practice address
- 1722 S Carson Ave
Suite 3100
Tulsa, OK 74119 - Phone
- (918) 587-7111
- Fax
- (918) 587-1177
- NPI assigned
- Apr 30, 2008
- Sex
- Female
- Sole proprietor
- No
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 | M5025 | OK | Primary |
Addresses
Primary practice location
1722 S Carson Ave
Suite 3100
Tulsa, OK 74119
Mailing address
University Club Towers 1722 S Carson Ave
Suite 3100
Tulsa, OK 74119
Phone (918) 587-7111
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 |
|---|---|---|---|
| M5025 | OK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooks Spinal Care, PC | Massage Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1619142643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY CLUB TOWERS 1722 S CARSON AVE",
"address_2": "SUITE 3100",
"city": "TULSA",
"state": "OK",
"postal_code": "74119",
"telephone_number": "918-587-7111",
"fax_number": "918-587-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 S CARSON AVE",
"address_2": "SUITE 3100",
"city": "TULSA",
"state": "OK",
"postal_code": "74119",
"telephone_number": "918-587-7111",
"fax_number": "918-587-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEILL",
"first_name": "JAIME",
"middle_name": "ANNETTE",
"name_prefix": "Ms.",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OK",
"license": "M5025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.