Individual provider Active NPI

Jeffrey Walter Apple, ATC, LMT

  • Massage Therapist
  • Malvern, PA
National Provider Identifier
1780953190
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG013470 Issued in PA
Practice address
446 Lancaster Ave
Malvern, PA 19355-1818
Phone
(484) 329-6919
NPI assigned
Dec 14, 2011
Reactivated
Apr 24, 2024
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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 MSG013470 PA Primary

Addresses

Primary practice location

446 Lancaster Ave
Malvern, PA 19355-1818

Mailing address

446 Lancaster Ave
Malvern, PA 19355-1818
Phone (484) 329-6919

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
MSG013470PAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Move Health & Sports Clinic CurrentSince Mar 11, 2025 Accepting new patients

Locations

446 Lancaster Ave
Malvern, PA 19355
Phone (302) 478-5240

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1780953190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551818",
            "telephone_number": "484-329-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551818",
            "telephone_number": "484-329-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLE",
        "first_name": "JEFFREY",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "ATC, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-14",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "deactivation_date": "2018-03-20",
        "reactivation_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG013470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.