Jessica Lynn Hodges, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12640 Issued in OR

Practice address

1661 Edgewater St NW
Suite 120
Salem, OR 97304-4711

Phone

(503) 949-4053

Fax

(503) 339-2966

NPI assigned

Apr 9, 2007

Last updated

Jun 21, 2013By 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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1811010200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 BAXTER CT SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973061538",
            "telephone_number": "503-949-4053",
            "fax_number": "503-339-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 EDGEWATER ST NW",
            "address_2": "SUITE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044711",
            "telephone_number": "503-949-4053",
            "fax_number": "503-339-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine M Hoda, MD
• Diana Hodapp, OTR/L
• Dennis Lee Hodgdon, QMHA
• Cathy Hodges, RPH
• Holly Jo L Hodges, MD
• Timothy C. Hodges, MD
• Abigail Heppner Hodgson, D.C.
• Lauren A Hodgson, PA-C
• Bryan H Hodson, MA, LPC
• Jenny Sue Wing Hoelter, MD

• Massage Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.