JESSE TAYLOR (NPI# 1861853723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861853723 |
| Entity Type | Individual |
| Full Name | JESSE TAYLOR |
| Credential | LMT |
| Practice Address |
13100 Greenwood Ave Blue Island IL 60406-2308 |
| Practice Telephone | 8475323111 |
| Mailing Telephone | 8475323111 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227017843 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811299779 | Jesse Owen Taylor | Social Worker | 1536 North Jefferson Street, Va Jacksonville Opc Mental Health, Jacksonville, FL 32209 | 2010-11-29 |
| 1710005657 | Jesse Taylor Jr. | Registered Nurse | 2412 N Tejon St, Colorado Springs, CO 80907-6835 | 2007-03-27 |
| 1659438471 | Jesse Martin Taylor IIi | Dentist | 4708 W Plano Parkway, Suite 200, Plano, TX 75093-5333 | 2007-01-02 |
| 1871944538 | Jesse C Taylor | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4988 | 2016-06-23 |
| 1871785873 | Jesse A Taylor | Plastic Surgery | 3400 Spruce Street, 4 Silverstein, Philadelphia, PA 19104-4206 | 2007-08-14 |
| 1619905122 | Jesse G. Taylor | Internal Medicine | 2115 S Fremont Ave, Springfield, MO 65804-2246 | 2006-06-30 |
| Street Address |
13100 GREENWOOD AVE |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
| 1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
| 1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
| 1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
| 1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
| 1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
| 1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
| Find all providers in zip 60406 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117968 | Zayed Maxwell | Massage Therapist | 2737 Union St, Blue Island, IL 60406-1926 | 2020-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1497354104 | Lola Sanders | Massage Therapist | 844 Wilshire Dr, Belleville, IL 62223-2623 | 2020-10-22 |
| 1003415001 | Amanda L Klimczak | Massage Therapist | 1231 Ridgeland Ave, Berwyn, IL 60402-1142 | 2020-10-21 |
| 1093314148 | Jody Lee Hazel | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
| 1194323352 | Vanina Barnett | Massage Therapist | 112 Sussex Cir, Schaumburg, IL 60193-1835 | 2020-10-10 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1407463029 | Danielle Wright | Massage Therapist | 132 S Water St Ste 430, Decatur, IL 62523-2305 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1780291872 | Jennifer Marshall | Massage Therapist | 6920 W 110th St, Worth, IL 60482-1425 | 2020-09-23 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | BLUE ISLAND |
| Zip Code | 60406 |
Please comment or provide details below to improve the information on JESSE TAYLOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.