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

Mr. Jason William Bethea Sr., LMT

Individual provider Massage Therapist · NPI 1912500539

Mr. Jason William Bethea Sr., LMT is a Massage Therapist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

11 Broadway # 433
New York, NY 10004-1303
Phone: (646) 413-4930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 032412 (NY)

Record details

NPI number1912500539
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedNovember 17, 2020
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020

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