Individual provider Active NPI

Jacqueline Elizabeth Autio, LMT

  • Massage Therapist
  • Bozeman, MT
National Provider Identifier
1407672280
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
16430 Issued in MT
Practice address
304 Gallatin Park Dr Unit 120
Bozeman, MT 59715-7907
Phone
(406) 585-9113
NPI assigned
Nov 26, 2024
Last updated
Sep 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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 16430 MT Primary

Addresses

Primary practice location

304 Gallatin Park Dr Unit 120
Bozeman, MT 59715-7907

Mailing address

304 Gallatin Park Dr Unit 120
Bozeman, MT 59715-7907
Phone (406) 219-1756

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
16430MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enso PLLC Massage Therapist CurrentSince Dec 1, 2024 Accepting new patients

Locations

875 Bridger Dr
Ste J
Bozeman, MT 59715
Phone (406) 579-8008

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": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1407672280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 GALLATIN PARK DR UNIT 120",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157907",
            "telephone_number": "406-219-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 GALLATIN PARK DR UNIT 120",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157907",
            "telephone_number": "406-585-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTIO",
        "first_name": "JACQUELINE",
        "middle_name": "ELIZABETH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "16430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.