Active NPI
Jessica Perry
- Massage Therapist
- Lehi, UT
National Provider Identifier
1790421832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15142
- Practice address
- 2701 N Thanksgiving Way Ste 100
Lehi, UT 84043-6331 - Phone
- (516) 980-2502
- NPI assigned
- May 11, 2022
- 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 | 15142 | NC | Primary |
Addresses
Primary practice location
2701 N Thanksgiving Way Ste 100
Lehi, UT 84043-6331
Mailing address
964 High House Rd # 3009
Cary, NC 27513-3574
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 |
|---|---|---|---|
| 15142 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1790421832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "964 HIGH HOUSE RD # 3009",
"city": "CARY",
"state": "NC",
"postal_code": "275133574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 N THANKSGIVING WAY STE 100",
"city": "LEHI",
"state": "UT",
"postal_code": "840436331",
"telephone_number": "516-980-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-11",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "15142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.