Individual provider Active NPI

Joshua P Mayol

  • Massage Therapist
  • Englewood, CO
National Provider Identifier
1831966159
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0024726 Issued in CO
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

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MT.0024726COMDMassage Therapist
MA100471FLMDMassage Therapist
227.023239ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Tree Wellness Center LLC PastSince Jan 14, 2024 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.

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.

Verify at the official NPI Registry.