Jordan Crogan, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

60711330 Issued in WA

Practice address

621 W Mallon Ave Ste 609
Spokane, WA 99201-2164

Phone

(509) 263-6099

NPI assigned

Apr 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Urban Zen PS

  • Massage Therapist
  • Spokane, WA
  • NPI 1649777137
  NPD (past) Authorized official

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1912495698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 E GLENCREST DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089729",
            "telephone_number": "509-263-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W MALLON AVE STE 609",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012164",
            "telephone_number": "509-263-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROGAN",
        "first_name": "JORDAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60711330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiarra Crockrom
• Cherri M Croff, LMP
• Douglas L Croff, DPM
• Brittany Croft, LMHCA
• Neva L Crogan--Pomilla, GNP
• Samuel Robert Crompton, DO
• Brian M Cronin, MPT
• Christine L Cronin, DPT
• Freijda Evelyn Jenifer Cronin
• Lawrence Cronin, M.S.W.

• Massage Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.