Active NPI
Jodie Baty, LMT
- Massage Therapist
- Salem, IL
National Provider Identifier
1356808562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227003158
- Practice address
- 815 W Main St
Salem, IL 62881-1408 - Phone
- (815) 674-1052
- NPI assigned
- Feb 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227003158 | IL | Primary |
Addresses
Primary practice location
815 W Main St
Salem, IL 62881-1408
Mailing address
7903 Brimberry Rd
Alma, IL 62807-1233
Phone (815) 674-1052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227003158 | Other | IL | LICENSED NUMBER |
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 |
|---|---|---|---|
| 227003158 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550966400000",
"number": "1356808562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7903 BRIMBERRY RD",
"city": "ALMA",
"state": "IL",
"postal_code": "628071233",
"telephone_number": "815-674-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 W MAIN ST",
"city": "SALEM",
"state": "IL",
"postal_code": "628811408",
"telephone_number": "815-674-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATY",
"first_name": "JODIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-24",
"last_updated": "2019-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227003158",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED NUMBER",
"identifier": "227003158",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.