Jason Ishmael Ezzy, LMT, AHS - Massage Therapist in Portland, ME

Jason Ishmael Ezzy, LMT, AHS is a Massage Therapist based in Portland, Maine. Jason Ishmael Ezzy is licensed to practice in Maine (license number MT4860) and his current practice location is 1717 Congress St Ste 3, Portland, Maine. He can be reached at his office (for appointments etc.) via phone at (207) 449-2847.

NPI number for Jason Ishmael Ezzy is 1083376396 and his current mailing address is 365 Main St Apt 102, Biddeford, Maine. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083376396.

Contact Information

Jason Ishmael Ezzy, LMT, AHS
1717 Congress St Ste 3,
Portland, ME 04102-1983
(207) 449-2847
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJason Ishmael Ezzy
GenderMale
SpecialityMassage Therapist
Location1717 Congress St Ste 3, Portland, Maine
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083376396
  • Provider Enumeration Date: 10/13/2021
  • Last Update Date: 10/13/2021

Medical Identifiers

Medical identifiers for Jason Ishmael Ezzy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083376396NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist MT4860 (Maine)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason Ishmael Ezzy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jason Ishmael Ezzy, LMT, AHS
365 Main St Apt 102,
Biddeford, ME 04005-6304

Ph: (207) 449-2847
Jason Ishmael Ezzy, LMT, AHS
1717 Congress St Ste 3,
Portland, ME 04102-1983

Ph: (207) 449-2847

Reviews and Comments


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