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JASON ISHMAEL EZZY LMT, AHS
NPI 1083376396
Massage Therapist in Portland, ME

Active since October 13, 2021
1717 CONGRESS ST STE 3, PORTLAND, ME 04102(207) 449-2847 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jason Ishmael Ezzy Lmt, Ahs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON ISHMAEL EZZY LMT, AHS (NPI 1083376396) is an individual massage therapist in Portland, Maine, licensed in Maine (MT4860) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1083376396
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJASON ISHMAEL EZZYCredential: LMT, AHS
Location Address1717 CONGRESS ST STE 3Portland, ME 04102-1983
Mailing Address365 Main St Apt 102Biddeford, ME 04005-6304 · (207) 449-2847
Phone(207) 449-2847
Sole ProprietorYes
Enumeration DateOctober 13, 2021
NPPES CertifiedOctober 13, 2021
✔ NPI 1083376396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in ME · MT4860
Definition
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.
1717 CONGRESS ST STE 3, Portland, ME 04102
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Other Names 1

Former Name (1)Jason Lesaldo Lmt, Ahs

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TLC ANGELS, INC
In Home Supportive Care
1717 CONGRESS ST STE 3
PORTLAND, ME 04102
Cumberland County (207) 835-6025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Ezzy's NPI number?

The NPI number for Jason Ezzy is 1083376396. It was assigned to this individual provider in the NPPES registry on October 13, 2021. The provider is also known as Jason Lesaldo Lmt, Ahs.

Where is Jason Ezzy located?

Jason Ezzy practices at 1717 Congress St Ste 3, Portland, ME 04102. The listed phone number is (207) 449-2847.

What is Jason Ezzy's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jason Ezzy was last updated on October 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.