Individual provider Active NPI

Jessica Addleman

  • Massage Therapist
  • Clinton, UT
National Provider Identifier
1710722301
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7926688-4701 Issued in UT
Practice address
1808 W 1800 N Ste a
Clinton, UT 84015-8503
Phone
(801) 217-3133
NPI assigned
Jun 26, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 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 7926688-4701 UT Primary

Addresses

Primary practice location

1808 W 1800 N Ste a
Clinton, UT 84015-8503

Mailing address

2548 N 1150 W
Layton, UT 84041-1297
Phone (801) 662-9800

Other practice location 1

2348 Kiesel Ave
Ogden, UT 84401-1964
Phone (801) 528-5066

Other names 1

  • Jessica Pay 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
7926688-4701UTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutix of Clinton LLC Massage Therapist CurrentSince Jun 30, 2024 Accepting new patients
Therapeutix Mind & Body Inc Massage Therapist PastSince Mar 19, 2023 Accepting new patients

Locations

1808 W 1800 N
Ste A
Clinton, UT 84015
Phone (801) 217-3133

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1710722301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 N 1150 W",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411297",
            "telephone_number": "801-662-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 W 1800 N STE A",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158503",
            "telephone_number": "801-217-3133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2348 Kiesel Ave",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844011964",
            "country_code": "US",
            "telephone_number": "801-528-5066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDLEMAN",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "7926688-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.