Individual provider Active NPI

Jennifer J Elting, LMT

  • Massage Therapist
  • Aurora, CO
National Provider Identifier
1033660410
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0002709 Issued in CO
Practice address
2224 S Fraser St
Suite 4
Aurora, CO 80014-4531
Phone
(720) 539-5280
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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 MT.0002709 CO Primary

Addresses

Primary practice location

2224 S Fraser St
Suite 4
Aurora, CO 80014-4531

Mailing address

18062 E Bellewood Dr
Aurora, CO 80015-2016
Phone (303) 503-6843

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
MT.0002709COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1033660410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18062 E BELLEWOOD DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152016",
            "telephone_number": "303-503-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 S FRASER ST",
            "address_2": "SUITE 4",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144531",
            "telephone_number": "720-539-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTING",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0002709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.