Active NPI
Elizabeth Jones
- Massage Therapist
- Sebastopol, CA
National Provider Identifier
1962267740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 72462
- Practice address
- 130 Morris St.
Suite a-1
Sebastopol, CA 95472 - Phone
- (415) 385-5876
- NPI assigned
- Feb 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 72462 | CA | Primary |
Addresses
Primary practice location
130 Morris St.
Suite a-1
Sebastopol, CA 95472
Mailing address
7940 Bodega Ave Apt 5
Sebastopol, CA 95472-3541
Phone (415) 385-5876
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 |
|---|---|---|---|
| 72462 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1962267740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7940 BODEGA AVE APT 5",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954723541",
"telephone_number": "415-385-5876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MORRIS ST.",
"address_2": "SUITE A-1",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "95472",
"telephone_number": "415-385-5876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "72462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.