Individual provider Active NPI

Jason Matthew Whistler, LMT

  • Massage Therapist
  • Selinsgrove, PA
National Provider Identifier
1316526676
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG014030 Issued in PA
Practice address
2346 N Susquehanna TRL
Selinsgrove, PA 17870-7776
Phone
(570) 437-0333
NPI assigned
Apr 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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 MSG014030 PA Primary

Addresses

Primary practice location

2346 N Susquehanna TRL
Selinsgrove, PA 17870-7776

Mailing address

19 Michael LN
Watsontown, PA 17777-8070
Phone (570) 246-9991

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
MSG014030PAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1316526676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MICHAEL LN",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177778070",
            "telephone_number": "570-246-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 N SUSQUEHANNA TRL",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178707776",
            "telephone_number": "570-437-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHISTLER",
        "first_name": "JASON",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG014030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selinsgrove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.