Active NPI
Joshua P Mayol
- Massage Therapist
- Englewood, CO
National Provider Identifier
1831966159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0024726
- Practice address
- 1801 E Girard PL Apt 242
Englewood, CO 80113-3148 - Phone
- (303) 385-3140
- NPI assigned
- Dec 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227.023239 | IL | |
| Massage Therapist | 225700000X | MA100471 | FL | |
| Massage Therapist | 225700000X | MT.0024726 | CO | Primary |
Addresses
Primary practice location
1801 E Girard PL Apt 242
Englewood, CO 80113-3148
Mailing address
1801 E Girard PL Apt 242
Englewood, CO 80113-3148
Phone (303) 385-3140
Other practice location 1
2046 Jonathan Creek Rd
Arthur, IL 61911-6108
Phone (217) 962-0614
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 |
|---|---|---|---|
| MT.0024726 | CO | MD | Massage Therapist |
| MA100471 | FL | MD | Massage Therapist |
| 227.023239 | IL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Tree Wellness Center LLC | Past | Accepting new patients |
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.
-
- Health Service Clinic/Center
- Arthur, IL
- NPI 1316717523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1831966159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 E GIRARD PL APT 242",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801133148",
"telephone_number": "303-385-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 E GIRARD PL APT 242",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801133148",
"telephone_number": "303-385-3140"
}
],
"practiceLocations": [
{
"address_1": "2046 Jonathan Creek Rd",
"address_purpose": "LOCATION",
"city": "Arthur",
"state": "IL",
"postal_code": "619116108",
"country_code": "US",
"telephone_number": "217-962-0614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYOL",
"first_name": "JOSHUA",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-06",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227.023239",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA100471",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0024726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.