Mountain State Medical Massage
NPI 1558089904ActiveOrganization· Massage Therapist· Centennial, CO
Massage Therapist in Centennial, Colorado, registered in NPPES in August 2022. The authorized official on file is Jenny M. Nickerson, LMT, Owner.
Overview
| NPI | 1558089904 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 19, 2022 |
| Last updated in NPPES | Jan 18, 2023 |
| Certified by provider | Jan 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Massage Therapist Primary | 225700000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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