Individual provider Active NPI

Jacqueline Elaine Agar

  • Massage Therapist
  • Chesterfield, MI
National Provider Identifier
1952285702
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501002944 Issued in MI
Practice address
45662 Jefferson Ave
Chesterfield, MI 48047-5349
Phone
(248) 890-4201
Fax
(248) 890-4201
NPI assigned
Aug 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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 7501002944 MI Primary

Addresses

Primary practice location

45662 Jefferson Ave
Chesterfield, MI 48047-5349

Mailing address

45662 Jefferson Ave
Chesterfield, MI 48047-5349
Phone (248) 890-4201

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
7501002944MIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1952285702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45662 JEFFERSON AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475349",
            "telephone_number": "248-890-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45662 JEFFERSON AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475349",
            "telephone_number": "248-890-4201",
            "fax_number": "248-890-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAR",
        "first_name": "JACQUELINE",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501002944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.