Active NPI
Jolie Powell
- Massage Therapist
- Dickinson, TX
National Provider Identifier
1770122160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT117294
- Practice address
- 1055 FM 646 Rd W Apt 1034
Dickinson, TX 77539-3584 - Phone
- (348) 453-2088
- NPI assigned
- Jan 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | MT117294 | GA | Primary |
Addresses
Primary practice location
1055 FM 646 Rd W Apt 1034
Dickinson, TX 77539-3584
Mailing address
5205 Broadway St # Pearland
Pearland, TX 77581-3942
Phone (347) 453-2088
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Its306090@outlook.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| MT117294 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1770122160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 BROADWAY ST # PEARLAND",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775813942",
"telephone_number": "347-453-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 FM 646 RD W APT 1034",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775393584",
"telephone_number": "348-453-2088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JOLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-02",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT117294",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Its306090@outlook.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5205 Broadway St # 589",
"city": "Pearland",
"state": "TX",
"country_code": "US",
"postal_code": "775813942",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dickinson, TX
- Nam Manh Phung, DMD
- Peter Polak, PHARM.D
- Ponderosa Dialysis LLC (Victory Lakes Dialysis)
- Miranda Jalene Pool, PHYSICIAN ASSISTANT
- Terrie Porras, N.D.
- Precision Mind and Body
- Precision PHS LLC (Precision Rx)
- Preferred Specialty Anesthesia PA
- Premiere Pointe Podiatry, PLLC
- Premise Health of Texas Medical, P.a (Galveston Co - Dickinson)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.