Individual provider Active NPI

Jessica Sussman, LMT

  • Massage Therapist
  • Klamath Falls, OR
National Provider Identifier
1336004084
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
22472 Issued in OR
Practice address
2800 Crosby Ave Ste B
Klamath Falls, OR 97603-5700
Phone
(541) 205-3364
NPI assigned
Dec 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 22472 OR Primary

Addresses

Primary practice location

2800 Crosby Ave Ste B
Klamath Falls, OR 97603-5700

Mailing address

2800 Crosby Ave Ste B
Klamath Falls, OR 97603-5700
Phone (541) 205-3364

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
22472ORMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Pain Solutions LLC Multi-Specialty CurrentSince Dec 21, 2025 Accepting new patients

Locations

2800 Crosby Ave
Ste B
Klamath Falls, OR 97603
Phone (541) 205-3364

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": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1336004084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 CROSBY AVE STE B",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976035700",
            "telephone_number": "541-205-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CROSBY AVE STE B",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976035700",
            "telephone_number": "541-205-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.