Individual provider Active NPI

Jemma Wettish, MASSAGE THERAPIST

  • Massage Therapist
  • Glastonbury, CT
National Provider Identifier
1225762248
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10848 Issued in CT
Practice address
730 Hebron Ave Ste 4
Glastonbury, CT 06033-5016
Phone
(860) 410-4488
Fax
(860) 410-4492
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 10848 CT Primary

Addresses

Primary practice location

730 Hebron Ave Ste 4
Glastonbury, CT 06033-5016

Mailing address

730 Hebron Ave Ste 4
Glastonbury, CT 06033-5016
Phone (860) 410-4488

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

Practice roles

OrganizationSpecialtyStatusNew patients
Damato Chiropractic Center of Glastonbury, LLC CurrentSince Jul 17, 2022 Accepting new patients

Locations

730 Hebron Ave
Ste 4
Glastonbury, CT 06033
Phone (860) 410-4488

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1225762248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HEBRON AVE STE 4",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335016",
            "telephone_number": "860-410-4488",
            "fax_number": "860-410-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HEBRON AVE STE 4",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335016",
            "telephone_number": "860-410-4488",
            "fax_number": "860-410-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETTISH",
        "first_name": "JEMMA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "10848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.