Individual provider Active NPI

Jami Kohlmann, LMT

  • Massage Therapist
  • Champaign, IL
National Provider Identifier
1679166227
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227002618 Issued in IL
Practice address
3115 Village Office PL
Champaign, IL 61822-7673
Phone
(217) 531-4101
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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 227002618 IL Primary

Addresses

Primary practice location

3115 Village Office PL
Champaign, IL 61822-7673

Mailing address

2315 Osage Dr
Champaign, IL 61821-6346
Phone (217) 721-2028

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jami@tworoadswellnessclinic.com Direct

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
227002618ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Champaign Integrative Clinic, PLLC PastSince Feb 21, 2021 Accepting new patients
Two Roads Wellness Clinic, LLC PastSince Feb 21, 2021 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": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1679166227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 OSAGE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618216346",
            "telephone_number": "217-721-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 VILLAGE OFFICE PL",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227673",
            "telephone_number": "217-531-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLMANN",
        "first_name": "JAMI",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227002618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jami@tworoadswellnessclinic.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3115 Village Office Pl",
            "city": "Champaign",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618227673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.