Jessica G Tolliver, LMT, MMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8115 Issued in AR

Practice address

400 W Capitol Ave Ste 2848
Little Rock, AR 72201-3415

Phone

(501) 650-9014

Fax

(501) 712-3075

NPI assigned

Oct 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1669982278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21009 EDDIE RD",
            "city": "HENSLEY",
            "state": "AR",
            "postal_code": "720658065",
            "telephone_number": "501-650-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CAPITOL AVE STE 2848",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013415",
            "telephone_number": "501-650-9014",
            "fax_number": "501-712-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLIVER",
        "first_name": "JESSICA",
        "middle_name": "G",
        "credential": "LMT, MMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AR",
            "license": "8115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8115",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Toland
• James Tolbert
• Claudia M Tolleson, M. D.
• Sarah M Tolleson, APN
• Herbert Tolliver, RRT
• Nazana Tolliver
• Freddy Jean Karlo Toloza Bonilla, MD
• Kelsey Tom
• Caroline Jordan Tomanek, DO
• Lizeth Tomas, MHPP

• Massage Therapist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Massage Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.