Individual provider Active NPI

Jacoba Chapman, LMT

  • Massage Therapist
  • Chesapeake, VA
National Provider Identifier
1730872136
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
00119009829 Issued in VA
Practice address
3105 Western Branch Blvd Ste 1B
Chesapeake, VA 23321-5540
Phone
(757) 966-1653
NPI assigned
May 31, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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 00119009829 VA Primary

Addresses

Primary practice location

3105 Western Branch Blvd Ste 1B
Chesapeake, VA 23321-5540

Mailing address

3105 Western Branch Blvd Ste 1B
Chesapeake, VA 23321-5540
Phone (757) 966-1653

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
00119009829VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Massage Company LLC Massage Therapist CurrentSince Jun 4, 2023 Accepting new patients

Locations

3105 Western Branch Blvd
Ste 1B
Chesapeake, VA 23321
Phone (757) 966-1653

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1730872136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 WESTERN BRANCH BLVD STE 1B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215540",
            "telephone_number": "757-966-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 WESTERN BRANCH BLVD STE 1B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215540",
            "telephone_number": "757-966-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "JACOBA",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "00119009829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.