Individual provider Active NPI

Jennifer Mower, LMT

  • Massage Therapist
  • Virginia Beach, VA
National Provider Identifier
1689334013
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019018488 Issued in VA
Practice address
968 First Colonial Rd Ste 101
Virginia Beach, VA 23454-3171
Phone
(757) 410-5322
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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 0019018488 VA Primary

Addresses

Primary practice location

968 First Colonial Rd Ste 101
Virginia Beach, VA 23454-3171

Mailing address

1421 Kempsville Rd Ste C
Chesapeake, VA 23320-1406
Phone (757) 410-5322

Other practice location 1

1421 Kempsville Rd Ste C
Chesapeake, VA 23320-1406
Phone (757) 410-5322

Other identifiers 1

IdentifierTypeStateIssuer
0019018488OtherVAVIRGINIA DEPARTMENT OF HEALTH LICENSE

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
0019018488VAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1689334013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 KEMPSVILLE RD STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201406",
            "telephone_number": "757-410-5322",
            "fax_number": "757-548-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 FIRST COLONIAL RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543171",
            "telephone_number": "757-410-5322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 Kempsville Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233201406",
            "country_code": "US",
            "telephone_number": "757-410-5322",
            "fax_number": "757-548-0670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOWER",
        "first_name": "JENNIFER",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019018488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH LICENSE",
            "identifier": "0019018488",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.