Active NPI
Jessica M Westenhaver, PTA
- Massage Therapist
- Mattoon, IL
National Provider Identifier
1235375023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227007327
- Practice address
- 1613 Edgar Ave
Mattoon, IL 61938-5249 - Phone
- (217) 294-1706
- NPI assigned
- Dec 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06003771A | IN | |
| Massage Therapist | 225700000X | 227007327 | IL | Primary |
Addresses
Primary practice location
1613 Edgar Ave
Mattoon, IL 61938-5249
Mailing address
1613 Edgar Ave
Mattoon, IL 61938-5249
Phone (217) 294-1706
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06003771A | IN | MD | Physical Therapy Assistant |
| 227007327 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230422400000",
"number": "1235375023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 EDGAR AVE",
"city": "MATTOON",
"state": "IL",
"postal_code": "619385249",
"telephone_number": "217-294-1706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 EDGAR AVE",
"city": "MATTOON",
"state": "IL",
"postal_code": "619385249",
"telephone_number": "217-294-1706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTENHAVER",
"first_name": "JESSICA",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-28",
"last_updated": "2008-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06003771A",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227007327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mattoon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.