Individual provider Active NPI

Eun Jung Choi, LMT

  • Massage Therapist
  • Philadelphia, PA
National Provider Identifier
1629694104
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG012813 Issued in PA
Practice address
270 W Walnut LN FL 2
Philadelphia, PA 19144-3204
Phone
(267) 225-1611
NPI assigned
Jun 22, 2020
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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 MSG012813 PA Primary

Addresses

Primary practice location

270 W Walnut LN FL 2
Philadelphia, PA 19144-3204

Mailing address

300 W Winona St
Philadelphia, PA 19144-3925
Phone (917) 880-0669

Other practice location 1

300 W Winona St
Philadelphia, PA 19144-3925
Phone (267) 225-1611

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
MSG012813PAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1629694104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WINONA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443925",
            "telephone_number": "917-880-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 W WALNUT LN FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443204",
            "telephone_number": "267-225-1611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Winona St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191443925",
            "country_code": "US",
            "telephone_number": "267-225-1611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "EUN JUNG",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG012813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.