Individual provider Active NPI

Jasmine Linnette Tillman, MT

  • Massage Therapist
  • Peoria, IL
National Provider Identifier
1215898416
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.024411 Issued in IL
Practice address
2627 W Altorfer Dr Ste a
Peoria, IL 61615-1867
Phone
(309) 693-8448
Fax
(309) 693-8438
NPI assigned
Nov 19, 2025
Last updated
Nov 19, 2025By the provider in NPPES
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 227.024411 IL Primary

Addresses

Primary practice location

2627 W Altorfer Dr Ste a
Peoria, IL 61615-1867

Mailing address

2627 W Altorfer Dr Ste a
Peoria, IL 61615-1867
Phone (309) 693-8448

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
227.024411ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelch Chiropractic Inc. CurrentSince Nov 24, 2025 Accepting new patients

Locations

2627 W Altorfer Dr
Ste A
Peoria, IL 61615
Phone (309) 693-8448

Organizations & group practices 1

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

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": "1215898416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 W ALTORFER DR STE A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151867",
            "telephone_number": "309-693-8448",
            "fax_number": "309-693-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 W ALTORFER DR STE A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151867",
            "telephone_number": "309-693-8448",
            "fax_number": "309-693-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "JASMINE",
        "middle_name": "LINNETTE",
        "credential": "MT",
        "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": "227.024411",
            "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.