Individual provider Active NPI

Jessica A Bernstein-Newton, LMT, BCTMB

  • Massage Therapist
  • Lutherville, MD
National Provider Identifier
1700645280
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M03097 Issued in MD
Practice address
2360 W Joppa Rd Ste 315
Lutherville, MD 21093-4639
Phone
(410) 205-6218
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 M03097 MD Primary

Addresses

Primary practice location

2360 W Joppa Rd Ste 315
Lutherville, MD 21093-4639

Mailing address

236 N Constitution Ave
New Freedom, PA 17349-9576
Phone (410) 493-0196

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
M03097MDMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1700645280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N CONSTITUTION AVE",
            "city": "NEW FREEDOM",
            "state": "PA",
            "postal_code": "173499576",
            "telephone_number": "410-493-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 W JOPPA RD STE 315",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934639",
            "telephone_number": "410-205-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN-NEWTON",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "LMT, BCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M03097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.