Individual provider Active NPI

Jessica L Pytynia, LMT

  • Massage Therapist
  • Michigan City, IN
National Provider Identifier
1598066854
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT20900373 Issued in IN
Practice address
8690 W Pahs Rd
Michigan City, IN 46360-7666
Phone
(219) 872-5151
Fax
(219) 872-0177
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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 MT20900373 IN Primary

Addresses

Primary practice location

8690 W Pahs Rd
Michigan City, IN 46360-7666

Mailing address

1516 Greenwood Ave
Michigan City, IN 46360-5524
Phone (219) 221-6118

Other names 1

  • Miss Jessica L Hall Former name

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
MT20900373INMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eaton Chiropractic Inc PastSince Feb 13, 2007 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1598066854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 GREENWOOD AVE",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463605524",
            "telephone_number": "219-221-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8690 W PAHS RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607666",
            "telephone_number": "219-872-5151",
            "fax_number": "219-872-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYTYNIA",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT20900373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HALL",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.