Jill Kathleen Mabry, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA90274 Issued in FL

Practice address

11211 Prosperity Farms Rd Ste D325
Palm Beach Gardens, FL 33410-3472

Phone

(561) 622-4706

NPI assigned

Sep 16, 2014

Last updated

Jan 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Oc Craniosacral Therapy Inc

  • Massage Therapist
  • Huntington Beach, CA
  • NPI 1144872169
  NPD (past)

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1790186229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 US HIGHWAY 1 APT 402",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083821",
            "telephone_number": "561-356-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD STE D325",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103472",
            "telephone_number": "561-622-4706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20422 Beach Blvd Ste 335",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926488300",
            "country_code": "US",
            "telephone_number": "949-514-4779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABRY",
        "first_name": "JILL",
        "middle_name": "KATHLEEN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA90274",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CA",
            "license": "15570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Gould Therapy Inc.
• M Y Arnp LLC
• M. Joseph Fox, D.D.S., P.a.
• William Ma, D.M.D.
• Mabry Chiropractic, LLC
• Lynn K. Mabry, D.C.
• Kristin Bishop Macdermott, LMFT
• Sharon Rose Macdougall, ARNP
• Karly Marie Macfarlane, BCBA
• Alexi Machado

• Mechanotherapist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Mechanotherapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.