Individual provider Active NPI

Jessica Riesgo, MA, LMT

  • Massage Therapist
  • Tucson, AZ
National Provider Identifier
1639721285
Registry record updated Jul 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-08984 Issued in AZ
Practice address
3208 E Fort Lowell Rd Ste 102
Tucson, AZ 85716-1625
Phone
(520) 240-2034
NPI assigned
Jul 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X
Massage Therapist 225700000X MT-08984 AZ Primary

Addresses

Primary practice location

3208 E Fort Lowell Rd Ste 102
Tucson, AZ 85716-1625

Mailing address

3208 E Fort Lowell Rd Ste 102
Tucson, AZ 85716-1625
Phone (520) 240-2034

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.tucsonfirehands.com Direct

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MT-08984AZMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1563062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563062400000",
    "number": "1639721285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 E FORT LOWELL RD STE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161625",
            "telephone_number": "520-240-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 E FORT LOWELL RD STE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161625",
            "telephone_number": "520-240-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESGO",
        "first_name": "JESSICA",
        "credential": "MA, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-14",
        "last_updated": "2019-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-08984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.tucsonfirehands.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3208 E Fort Lowell Rd Ste 102",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857161625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2019; 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.