Catherine Jackson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019012293 Issued in VA

Practice address

765 Northumberland Hwy
Callao, VA 22435-2206

Phone

(804) 529-5178

Fax

(804) 529-5179

NPI assigned

Jul 8, 2014

Last updated

Jul 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abilities Abound Physical Therapy and Wellness Center PLLC

  • Physical Therapy Clinic/Center
  • Callao, VA
  • NPI 1063833218
  NPD (past)
• Get Balanced 4 Life

  • Rehabilitation Clinic/Center
  • Callao, VA
  • NPI 1326499062
  NPD (past)

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1720494081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197",
            "city": "CALLAO",
            "state": "VA",
            "postal_code": "224350197",
            "telephone_number": "804-529-5178",
            "fax_number": "804-529-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 NORTHUMBERLAND HWY",
            "city": "CALLAO",
            "state": "VA",
            "postal_code": "224352206",
            "telephone_number": "804-529-5178",
            "fax_number": "804-529-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019012293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Get Balanced 4 Life
• D Dawn Hale, LMT
• Steven Hand
• Merthia I Haynie, D.P.T.
• Sara Hugate, LPTA
• Kingdomnaires Personal Transport Services, LLC
• Donna Lynn Lamarque-Ambrose, MD
• Kelsi B. Lowe, NP
• Chantal McRae, DPT
• Ryan Richard Milliken, PHARMD

• Massage Therapist in Callao, VA
• Providers in Callao, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.