Active NPI
Jessica Rose
- Massage Therapist
- Wheat Ridge, CO
National Provider Identifier
1972010833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0003866
- Practice address
- 5455 W 38TH Ave Unit B
Wheat Ridge, CO 80212-7068 - Phone
- (720) 277-7018
- NPI assigned
- Jan 1, 2018
- 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 | MT.0003866 | CO | Primary |
Addresses
Primary practice location
5455 W 38TH Ave Unit B
Wheat Ridge, CO 80212-7068
Mailing address
5455 W 38TH Ave Unit B
Wheat Ridge, CO 80212-7068
Phone (720) 277-7018
Other practice location 1
2570 S Colorado Blvd
Denver, CO 80222-5909
Phone (720) 609-7033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
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 |
|---|---|---|---|
| MT.0003866 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1972010833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 W 38TH AVE UNIT B",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "802127068",
"telephone_number": "720-277-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 W 38TH AVE UNIT B",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "802127068",
"telephone_number": "720-277-7018"
}
],
"practiceLocations": [
{
"address_1": "2570 S Colorado Blvd",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802225909",
"country_code": "US",
"telephone_number": "720-609-7033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0003866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.