Individual provider Active NPI

Jesse Luke Corry, L.M.T.

  • Massage Therapist
  • Tallahassee, FL
National Provider Identifier
1689800450
Registry record updated Jun 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA32748 Issued in FL
Practice address
2729 Blairstone LN
Tallahassee, FL 32301-6074
Phone
(850) 212-4244
NPI assigned
Jun 6, 2009
Last updated
Jun 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2009

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 MA32748 FL Primary

Addresses

Primary practice location

2729 Blairstone LN
Tallahassee, FL 32301-6074

Mailing address

1529 Paula Dr
Tallahassee, FL 32303-2913
Phone (850) 212-4244

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
MA32748FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1244246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244246400000",
    "number": "1689800450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 PAULA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323032913",
            "telephone_number": "850-212-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 BLAIRSTONE LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323016074",
            "telephone_number": "850-212-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRY",
        "first_name": "JESSE",
        "middle_name": "LUKE",
        "name_prefix": "Mr.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-06",
        "last_updated": "2009-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA32748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2009; 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.