Individual provider Active NPI

Jessalyn Weyant

  • Massage Therapist
  • Altoona, PA
National Provider Identifier
1407645765
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG015212 Issued in PA
Practice address
310 Union Ave
Altoona, PA 16602-3207
Phone
(814) 317-6959
NPI assigned
May 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2025

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 MSG015212 PA Primary

Addresses

Primary practice location

310 Union Ave
Altoona, PA 16602-3207

Mailing address

362 Poplar Run Rd
Duncansville, PA 16635-3803
Phone (814) 515-7316

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
MSG015212PAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1746230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1407645765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 POPLAR RUN RD",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166353803",
            "telephone_number": "814-515-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 UNION AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023207",
            "telephone_number": "814-317-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYANT",
        "first_name": "JESSALYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-03",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG015212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.