Active NPI
Jennifer Mower, LMT
- Massage Therapist
- Virginia Beach, VA
National Provider Identifier
1689334013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019018488
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019018488 | Other | VA | VIRGINIA 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0019018488 | VA | MD | Massage 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.