Jesse Lynn Candelori, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MSG010334 Issued in PA

Practice address

150 Coldstream Rd
Phoenixville, PA 19460-2051

Phone

(215) 470-9854

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1518640796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 COLDSTREAM RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602051",
            "telephone_number": "215-470-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 COLDSTREAM RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602051",
            "telephone_number": "215-470-9854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Bank St",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194603453",
            "country_code": "US",
            "telephone_number": "215-470-9854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Plank Ave",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011785",
            "country_code": "US",
            "telephone_number": "215-470-9854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANDELORI",
        "first_name": "JESSE",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG010334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Jackson Calvert, M.S., P.T.
• Alisa Calvo
• Kristine Lyn Campbell, MA CCC SLP
• Christina C Campli, RN
• Vanessa Marie Canas, MD
• Mariana Alejandra Canizales Guerra, DO
• Alyssa Marie Canosa, AU.D.
• Gina M. Cantarella, MD
• Ira Scott Cantor, M.D
• Jennifer Capone

• Massage Therapist in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.