Individual provider Active NPI

Joel Aaron Hanzly, LMT

  • Massage Therapist
  • Grants Pass, OR
National Provider Identifier
1831978477
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
27808 Issued in OR
Practice address
333 SW 5TH St Ste B
Grants Pass, OR 97526-2509
Phone
(541) 471-0397
Fax
(541) 471-6459
NPI assigned
Sep 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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 27808 OR Primary

Addresses

Primary practice location

333 SW 5TH St Ste B
Grants Pass, OR 97526-2509

Mailing address

333 SW 5TH St Ste B
Grants Pass, OR 97526-2509
Phone (541) 471-0397

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
27808ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Baker, D.C. P.C. CurrentSince Oct 1, 2023 Accepting new patients
Axis Health, Inc. Massage Therapist CurrentSince Oct 1, 2023 Accepting new patients

Locations

333 SW 5th St
Ste B
Grants Pass, OR 97526
Phone (541) 471-0397

Organizations & group practices 2

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": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1831978477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SW 5TH ST STE B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262509",
            "telephone_number": "541-471-0397",
            "fax_number": "541-471-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SW 5TH ST STE B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262509",
            "telephone_number": "541-471-0397",
            "fax_number": "541-471-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANZLY",
        "first_name": "JOEL",
        "middle_name": "AARON",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.