Jennifer Dydo, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MSG001675 Issued in PA

Practice address

918 N Reading Rd
Ephrata, PA 17522-9794

Phone

(717) 335-2338

NPI assigned

Jan 18, 2012

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

Practice roles

Locations

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.

• Circle of Life Massage & Wellness Center, LLC

  • Massage Therapist
  • Ephrata, PA
  • NPI 1053923391
  NPD Authorized official

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1760753149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 N READING RD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229794",
            "telephone_number": "717-335-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 N READING RD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229794",
            "telephone_number": "717-335-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYDO",
        "first_name": "JENNIFER",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG001675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drayer Physical Therapy Institute LLC
• Aquila Dufort, CRNP
• Jason Michael Dulimba
• Debbie Loretta Durisek, M.D.
• Karina Hoffman Dussinger, CRNP
• Chelsea Anne Dyer, PA-C
• Ears
• Ears, Inc.
• Jeanne M Eberly, R.PH.
• Abigail Lee Eby, CRNP

• Massage Therapist in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.