Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Ishmael Ezzy, LMT, AHS

Individual provider Massage Therapist · NPI 1083376396

Jason Ishmael Ezzy, LMT, AHS is a Massage Therapist in Portland, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2021
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1717 Congress St Ste 3
Portland, ME 04102-1983
Phone: (207) 449-2847
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT4860 (ME)

Record details

NPI number1083376396
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT , AHS
Sole proprietorYes
NPI enumeratedOctober 13, 2021
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021
Mailing address365 Main St Apt 102, Biddeford, ME 04005-6304

Other providers in Portland