Individual provider Active NPI

Jessica Whyte, LMT

  • Massage Therapist
  • Lakewood, CO
National Provider Identifier
1750938056
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0021748 Issued in CO
Practice address
334 S Teller St
Lakewood, CO 80226-7384
Phone
(303) 222-8091
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 MT.0021748 CO Primary

Addresses

Primary practice location

334 S Teller St
Lakewood, CO 80226-7384

Mailing address

3405 W 32ND Ave # 502
Denver, CO 80211-3103
Phone (785) 280-0438

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
MT.0021748COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Structured Wellness P.C. CurrentSince Jul 5, 2026 Accepting new patients
Levin and Miller Chiropractic Corporation PastSince Aug 25, 2019 Accepting new patients

Locations

334 S Teller St
Lakewood, CO 80226
Phone (303) 222-8091

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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1750938056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 W 32ND AVE # 502",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113103",
            "telephone_number": "785-280-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 S TELLER ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267384",
            "telephone_number": "303-222-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHYTE",
        "first_name": "JESSICA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0021748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.