Active NPI
Jessica Marie McClain, LMT
- Massage Therapist
- Grants Pass, OR
National Provider Identifier
1689009599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18708
- Practice address
- 223 NW 5TH St
Grants Pass, OR 97526-2055 - Phone
- (541) 659-2225
- NPI assigned
- Sep 10, 2013
- 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 | 18708 | OR | |
| Massage Therapist | 225700000X | 18708 | OR | Primary |
Addresses
Primary practice location
223 NW 5TH St
Grants Pass, OR 97526-2055
Mailing address
1384 Applegate Ave
Grants Pass, OR 97527-9202
Phone (541) 659-2225
Other practice location 1
1200 NE 7th St
Grants Pass, OR 97526-1424
Phone (541) 476-2916
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 |
|---|---|---|---|
| 18708 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naturopathic Medical Clinic | Massage Therapist | Past | Accepting new patients |
| Naturopathic Medical Clinic, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Naturopath
- Grants Pass, OR
- NPI 1295287530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1689009599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1384 APPLEGATE AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975279202",
"telephone_number": "541-659-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 NW 5TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975262055",
"telephone_number": "541-659-2225"
}
],
"practiceLocations": [
{
"address_1": "1200 NE 7th St",
"address_purpose": "LOCATION",
"city": "Grants Pass",
"state": "OR",
"postal_code": "975261424",
"country_code": "US",
"telephone_number": "541-476-2916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLAIN",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "18708",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "18708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.