Active NPI
Heather Jackson, LBMT
- Massage Therapist
- Southern Pines, NC
National Provider Identifier
1912872946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 20903
- Practice address
- 575 SE Broad St Ste 7
Southern Pines, NC 28387-6046 - Phone
- (910) 275-5766
- NPI assigned
- Oct 8, 2025
- Last updated
- Oct 8, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 20903 | NC | Primary |
Addresses
Primary practice location
575 SE Broad St Ste 7
Southern Pines, NC 28387-6046
Mailing address
PO Box 1355
Carthage, NC 28327-1355
Phone (910) 275-5766
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 |
|---|---|---|---|
| 20903 | NC | MD | Sleep Medicine (Otolaryngology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1912872946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1355",
"city": "CARTHAGE",
"state": "NC",
"postal_code": "283271355",
"telephone_number": "910-275-5766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 SE BROAD ST STE 7",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283876046",
"telephone_number": "910-275-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "HEATHER",
"credential": "LBMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-08",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "20903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southern Pines, NC
- Taylor Renae Inglis
- Integrated Pain Solutions PLLC
- Invictus Counseling
- Amy S. Ivey, C.P.N.P.
- Amanda R Jackson, BCAT
- Laura Permelia Jackson, M.S.ED.,ATC, LAT
- Nicole Jacobs, MD
- Fredena Lucas Jaggers, CRNA
- Thomas Scott Jamison, MD
- Jeffrey S. Almony, MD, DDS, PA (Southern Pines Oral & Maxillofacial Surgery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.