Active NPI
Ashley C Johnson, LMT
- Massage Therapist
- Wasilla, AK
National Provider Identifier
1962266924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 202829
- Practice address
- 10927 West Big Lake Road Suite C
Wasilla, AK 99623 - Phone
- (907) 203-6793
- Fax
- (907) 313-3879
- NPI assigned
- Feb 9, 2024
- 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 | 202829 | AK | Primary |
Addresses
Primary practice location
10927 West Big Lake Road Suite C
Wasilla, AK 99623
Mailing address
P.O. Box 870454
Wasilla, AK 99687
Phone (907) 203-6793
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 |
|---|---|---|---|
| 202829 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mat-Su Chiropractic LLC | Massage Therapist | Current | Accepting new patients |
Locations
10927 W Big Lake Rd
Ste C
Wasilla, AK 99623
Phone (907) 203-6793
Organizations & group practices 1
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": "1707436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1962266924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 870454",
"city": "WASILLA",
"state": "AK",
"postal_code": "99687",
"telephone_number": "907-203-6793",
"fax_number": "907-313-3879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10927 WEST BIG LAKE ROAD SUITE C",
"city": "WASILLA",
"state": "AK",
"postal_code": "99623",
"telephone_number": "907-203-6793",
"fax_number": "907-313-3879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ASHLEY",
"middle_name": "C",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-09",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "202829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.