Individual provider Active NPI

Javier Anthony Mejia

  • Massage Therapist
  • Green Valley, AZ
National Provider Identifier
1619717196
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-24444 Issued in AZ
Practice address
210 W Continental Rd Ste 130a
Green Valley, AZ 85622-3546
Phone
(520) 906-8358
NPI assigned
May 30, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 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 MT-24444 AZ Primary

Addresses

Primary practice location

210 W Continental Rd Ste 130a
Green Valley, AZ 85622-3546

Mailing address

210 W Continental Rd Ste 1340a
Green Valley, AZ 85622-3595

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
MT-24444AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Continental Spa LLC Massage Therapist CurrentSince Jun 2, 2024 Accepting new patients

Locations

210 W Continental Rd
Ste 130A
Green Valley, AZ 85622
Phone (520) 906-8358

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": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1619717196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W CONTINENTAL RD STE 1340A",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W CONTINENTAL RD STE 130A",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223546",
            "telephone_number": "520-906-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "JAVIER",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-24444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.