Active NPI
Gina Jones, LMT
- Massage Therapist
- Blue Island, IL
National Provider Identifier
1699974618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227006376
- Practice address
- 13341 Olde Western Ave
Blue Island, IL 60406-4896 - Phone
- (332) 778-2438
- Fax
- (708) 350-0511
- NPI assigned
- Jul 11, 2007
- 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 | 227006376 | IL | Primary |
Addresses
Primary practice location
13341 Olde Western Ave
Blue Island, IL 60406-4896
Mailing address
13341 Olde Western Ave
Blue Island, IL 60406-4896
Phone (773) 238-3349
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 |
|---|---|---|---|
| 227006376 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1699974618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13341 OLDE WESTERN AVE",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604064896",
"telephone_number": "773-238-3349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13341 OLDE WESTERN AVE",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604064896",
"telephone_number": "332-778-2438",
"fax_number": "708-350-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "GINA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227006376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.