Matthew B Jefferson, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019012155 Issued in VA

Practice address

8347A Greensboro Dr
MC Lean, VA 22102-3530

Phone

(571) 888-5193

NPI assigned

Jan 17, 2022

Last updated

Jan 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yulli Therapeutic Healing Center LLC

  • Massage Therapist
  • McLean, VA
  • NPI 1558081828
  NPD
• Dr Avila Healing Touch Physical Therapy LLC

  • Physical Therapist
  • McLean, VA
  • NPI 1750240511
  NPD (past)

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1952052490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8347A GREENSBORO DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023530",
            "telephone_number": "571-888-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8347A GREENSBORO DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023530",
            "telephone_number": "571-888-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "MATTHEW",
        "middle_name": "B",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019012155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Praveen Jaspal, M.D
• Claire Louise Jasper-Crafter, EDD
• Omar Javery
• Abigail Jean, RBT
• Jeanine R. Carlson, PHD, LLC
• Toni Jeffries
• Daphne C Jenkins, FNP-BC
• Jennifer Weaver and Associates, PLLC (Weaver and Associates, PLLC)
• Charles David Jensen, D.D.S.
• Connie Jensen, PT

• Massage Therapist in McLean, VA
• Providers in McLean, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.