Individual provider Active NPI

Rita Jasenauskas

  • Massage Therapist
  • Homewood, IL
National Provider Identifier
1518455336
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.016873 Issued in IL
Practice address
2417 183Rd St
Homewood, IL 60430-3134
Phone
(708) 798-5556
NPI assigned
Apr 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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 227.016873 IL Primary

Addresses

Primary practice location

2417 183Rd St
Homewood, IL 60430-3134

Mailing address

10411 S 81St CT
Palos Hills, IL 60465-1823
Phone (708) 369-9524

Other identifiers 1

IdentifierTypeStateIssuer
147711709MedicaidIL

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
227.016873ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Care LTD Past Accepting new patients
Sareena Health LLC PastSince Oct 25, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1518455336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 S 81ST CT",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651823",
            "telephone_number": "708-369-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 183RD ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303134",
            "telephone_number": "708-798-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASENAUSKAS",
        "first_name": "RITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.016873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147711709",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.