Individual provider Active NPI

Jette Bjork Jorgensen, CMT NCTMB

  • Massage Therapist
  • Citrus Heights, CA
National Provider Identifier
1700226156
Registry record updated Jun 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
6668 Issued in CA
Practice address
7509 Madison Ave
Suite 113
Citrus Heights, CA 95610-7467
Phone
(916) 218-6125
Fax
(916) 218-6086
NPI assigned
Jun 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2013

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 6668 CA Primary

Addresses

Primary practice location

7509 Madison Ave
Suite 113
Citrus Heights, CA 95610-7467

Mailing address

7509 Madison Ave
Suite 113
Citrus Heights, CA 95610-7467
Phone (916) 218-6125

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
6668CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1372550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372550400000",
    "number": "1700226156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 MADISON AVE",
            "address_2": "SUITE 113",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107467",
            "telephone_number": "916-218-6125",
            "fax_number": "916-218-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 MADISON AVE",
            "address_2": "SUITE 113",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107467",
            "telephone_number": "916-218-6125",
            "fax_number": "916-218-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "JETTE",
        "middle_name": "BJORK",
        "credential": "CMT NCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-30",
        "last_updated": "2013-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "6668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2013; 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.