Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114892064 Individual Practitioner Male Practitioner

Jedadiah Marquee Brown

Massage Therapist • Williamsburg, VA

Professional Overview & Biography Verified Profile Summary

Jedadiah Brown is a registered healthcare professional specializing in Massage Therapist in Williamsburg, VA. Practice services are available at 204 PACKETS CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

204 Packets Ct
Po Box 223

Williamsburg, VA 231855629

Telephone 7578086887
Fax 7578086887

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Williamsburg, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
23 Specialists

Practicing in Williamsburg, VA (1116 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-09
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License VA 0019011656

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Lmt
0019011656 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Latarsha Dreuitt

Counselor - Mental Health

NPI 1104798909

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 09, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2025

Registered at 204 PACKETS CT, PO BOX 223, WILLIAMSBURG, VA 231855629 (Tel: 7578086887)

📍
Updated Business Mailing Address October 09, 2025

Registered at 204 PACKETS CT, PO BOX 223, WILLIAMSBURG, VA 231855629 (Tel: 7578086887)

👤
Provider Name / Credentials Updated October 09, 2025

Recorded as JEDADIAH BROWN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2025

Massage Therapist (License #0019011656 in VA)

🟢
Initial NPI Registration & Enumeration October 09, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114892064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2025
Last Update: October 09, 2025
Sole Proprietor: Yes

Mailing Address

204 Packets Ct, Po Box 223

Williamsburg, VA 231855629

Phone: 7578086887

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.