Individual provider Active NPI

Jaclyn M Hatch, LMT, CPT

  • Massage Therapist
  • Penacook, NH
National Provider Identifier
1558146795
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
8245 Issued in NH
Practice address
1 Merrimack St
Penacook, NH 03303-1402
Phone
(352) 220-1030
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2714012 FL
Massage Therapist 225700000X 8245 NH Primary

Addresses

Primary practice location

1 Merrimack St
Penacook, NH 03303-1402

Mailing address

28 Cofran Ave
Northfield, NH 03276-1623
Phone (352) 220-1030

Other practice location 1

20 Canal St # 200&328
Franklin, NH 03235-1600
Phone (352) 220-1030

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
2714012FLMDAthletic Trainer
8245NHMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1558146795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 COFRAN AVE",
            "city": "NORTHFIELD",
            "state": "NH",
            "postal_code": "032761623",
            "telephone_number": "352-220-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERRIMACK ST",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033031402",
            "telephone_number": "352-220-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Canal St # 200&328",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NH",
            "postal_code": "032351600",
            "country_code": "US",
            "telephone_number": "352-220-1030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCH",
        "first_name": "JACLYN",
        "middle_name": "M",
        "credential": "LMT, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "2714012",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "8245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penacook, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.