Individual provider Active NPI

Jody Knipper, LMT

  • Massage Therapist
  • Chicago, IL
National Provider Identifier
1316411150
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227002213 Issued in IL
Practice address
500 N Michigan Ave Ste 2100
Chicago, IL 60611-3773
Phone
(312) 276-1212
Fax
(312) 276-1213
NPI assigned
Jan 15, 2019
Last updated
Jan 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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 227002213 IL Primary

Addresses

Primary practice location

500 N Michigan Ave Ste 2100
Chicago, IL 60611-3773

Mailing address

500 N Michigan Ave Ste 2100
Chicago, IL 60611-3773
Phone (312) 276-1212

Other identifiers 1

IdentifierTypeStateIssuer
14393153OtherCAQH

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
227002213ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1316411150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MICHIGAN AVE STE 2100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113773",
            "telephone_number": "312-276-1212",
            "fax_number": "312-276-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MICHIGAN AVE STE 2100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113773",
            "telephone_number": "312-276-1212",
            "fax_number": "312-276-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIPPER",
        "first_name": "JODY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227002213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14393153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.