Individual provider Active NPI

Jennifer Christophel, LMT

  • Massage Therapist
  • MC Henry, MD
National Provider Identifier
1669045191
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG014199 Issued in PA
Practice address
23789 Garrett Hwy
MC Henry, MD 21541-1338
Phone
(814) 242-6418
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019018358 VA
Massage Therapist 225700000X MT2000029 DC
Massage Therapist 225700000X MSG014199 PA Primary

Addresses

Primary practice location

23789 Garrett Hwy
MC Henry, MD 21541-1338

Mailing address

331 Ord St
Salisbury, PA 15558-9004
Phone (814) 242-6418

Other practice location 1

5410 Edson Ln
Rockville, MD 20852-3107
Phone (814) 242-6418

Other practice location 2

331 Ord St
Salisbury, PA 15558-9004
Phone (814) 242-6418

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
MT2000029DCMDMassage Therapist
MSG014199PAMDMassage Therapist
0019018358VAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1669045191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 ORD ST",
            "city": "SALISBURY",
            "state": "PA",
            "postal_code": "155589004",
            "telephone_number": "814-242-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23789 GARRETT HWY",
            "city": "MC HENRY",
            "state": "MD",
            "postal_code": "215411338",
            "telephone_number": "814-242-6418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5410 Edson Ln",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208523107",
            "country_code": "US",
            "telephone_number": "814-242-6418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 Ord St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "PA",
            "postal_code": "155589004",
            "country_code": "US",
            "telephone_number": "814-242-6418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTOPHEL",
        "first_name": "JENNIFER",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019018358",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "DC",
            "license": "MT2000029",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG014199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Henry, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.