Jessica Alyssa Spillman, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61233520 Issued in WA

Practice address

Lake Cushman
Hoodsport, WA 98548-9854

Phone

(775) 360-0730

NPI assigned

Mar 23, 2023

Last updated

Mar 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1740983345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N WIGEON PL",
            "city": "HOODSPORT",
            "state": "WA",
            "postal_code": "985489527",
            "telephone_number": "775-360-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAKE CUSHMAN",
            "city": "HOODSPORT",
            "state": "WA",
            "postal_code": "985489854",
            "telephone_number": "775-360-0730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 SW Sedgwick Rd",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "983676447",
            "country_code": "US",
            "telephone_number": "360-845-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPILLMAN",
        "first_name": "JESSICA",
        "middle_name": "ALYSSA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61233520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Poznyansky
• Public Hospital District No 1 of Mason County (Mason Health Hoodsport Primary Care)
• Public Hospital District No 1 of Mason County (Mason Health Hoodsport Primary Care)
• R.C. Downing DDS PS (Hood Canal Family Dental)
• Andy Sierra
• Unstoppable Psychotherapy PLLC
• Patricia C Wright, MAC

• Massage Therapist in Hoodsport, WA
• Providers in Hoodsport, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.