Active NPI
Jessica Marie Bushman, L.M.P.
- Massage Therapist
- Champaign, IL
National Provider Identifier
1730365859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227010013
- Practice address
- 206 N Randolph St
Suite 426
Champaign, IL 61820-3949 - Phone
- (217) 819-0023
- NPI assigned
- Jan 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227010013 | IL | Primary |
Addresses
Primary practice location
206 N Randolph St
Suite 426
Champaign, IL 61820-3949
Mailing address
206 N Randolph St
Suite 426
Champaign, IL 61820-3949
Phone (217) 819-0023
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
| License | State | Type | Specialty |
|---|---|---|---|
| 227010013 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1730365859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N RANDOLPH ST",
"address_2": "SUITE 426",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203949",
"telephone_number": "217-819-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N RANDOLPH ST",
"address_2": "SUITE 426",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203949",
"telephone_number": "217-819-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHMAN",
"first_name": "JESSICA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "L.M.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-18",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227010013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.