Individual provider Active NPI

Jason Michael Van Steenbergh, LMT

  • Massage Therapist
  • Lexington, KY
National Provider Identifier
1639516925
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
KY-4102 Issued in KY
Practice address
1598 Summerhill Dr
Lexington, KY 40515-5843
Phone
(859) 608-6948
NPI assigned
May 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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 KY-4102 KY Primary

Addresses

Primary practice location

1598 Summerhill Dr
Lexington, KY 40515-5843

Mailing address

1598 Summerhill Dr
Lexington, KY 40515-5843
Phone (859) 608-6948

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
KY-4102KYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1639516925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 SUMMERHILL DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155843",
            "telephone_number": "859-608-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 SUMMERHILL DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155843",
            "telephone_number": "859-608-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN STEENBERGH",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "KY-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.