Individual provider Active NPI

Jennifer Jones, LMT

  • Massage Therapist
  • Peoria, IL
National Provider Identifier
1013878057
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.016206 Issued in IL
Practice address
4700 N University St SPC 65
Peoria, IL 61614-5849
Phone
(309) 689-6200
Fax
(309) 689-6219
NPI assigned
Nov 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227.016206 IL Primary

Addresses

Primary practice location

4700 N University St SPC 65
Peoria, IL 61614-5849

Mailing address

2205 N Renee St
Peoria, IL 61604-2937
Phone (309) 573-1312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
227.016206ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alp Wellness Inc CurrentSince Nov 24, 2025 Accepting new patients
Al Peoria, LLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

4700 N University St
Spc 65
Peoria, IL 61614
Phone (309) 689-6200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1013878057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 N RENEE ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042937",
            "telephone_number": "309-573-1312",
            "fax_number": "309-689-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N UNIVERSITY ST SPC 65",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145849",
            "telephone_number": "309-689-6200",
            "fax_number": "309-689-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JENNIFER",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.016206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.