Active NPI
Jessica Dawn Purvis, LMT
- Mechanotherapist
- Foley, AL
National Provider Identifier
1649423898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 6044
- Practice address
- 1410 Aldon St
Foley, AL 36535-3607 - Phone
- (360) 977-3755
- NPI assigned
- Oct 31, 2008
- Last updated
- Oct 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA00017753 | WA | |
| Mechanotherapist | 172M00000X | 6044 | AL | Primary |
Addresses
Primary practice location
1410 Aldon St
Foley, AL 36535-3607
Mailing address
1410 Aldon St
Foley, AL 36535-3607
Phone (360) 977-3755
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA00017753 | Other | WA | MASSAGE PRACTITIONER |
| 6044 | Other | AL | MASSAGE THERAPIST |
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 |
|---|---|---|---|
| 6044 | AL | MD | Mechanotherapist |
| MA00017753 | WA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1649423898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 ALDON ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365353607",
"telephone_number": "360-977-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 ALDON ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365353607",
"telephone_number": "360-977-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURVIS",
"first_name": "JESSICA",
"middle_name": "DAWN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-31",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA00017753",
"primary": false
},
{
"code": "172M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Mechanotherapist",
"state": "AL",
"license": "6044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE PRACTITIONER",
"identifier": "MA00017753",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "6044",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Foley, AL
- Keri Lynn Prince, FNP-BC
- Professional Counselors of Alabama LLC
- Publix Alabama, LLC (Publix Pharmacy #2098)
- Publix Alabama, LLC (Publix Pharmacy #1673)
- Pure Life Pharmacy LLC (Pure Life Pharmacy)
- Rien Stephen Purvis, LMT
- Quality Respiratory Inc (Quality Respiratory Care)
- Quality Respiratory Inc (QRC Pharmacy)
- Quest Diagnostics Clinical Laboratories Inc
- Carrie Renee Williams Ray, PHARMD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.