Active NPI
Jessica Jane Owen, LMT
- Massage Therapist
- Houston, TX
National Provider Identifier
1831540988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT1122743
- Practice address
- 15626 Four Leaf Dr
Houston, TX 77084-3665 - Phone
- (832) 758-3888
- NPI assigned
- Jun 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT1122743 | TX | Primary |
| Research Study Abstracter/Coder | 1744R1103X | MT112743 | TX |
Addresses
Primary practice location
15626 Four Leaf Dr
Houston, TX 77084-3665
Mailing address
15626 Four Leaf Dr
Houston, TX 77084-3665
Phone (832) 758-3888
Other names 1
- Jessica Jane Wykoff
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 |
|---|---|---|---|
| MT112743 | TX | MD | Research Study Abstracter/Coder |
| MT1122743 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1831540988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15626 FOUR LEAF DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770843665",
"telephone_number": "832-758-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15626 FOUR LEAF DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770843665",
"telephone_number": "832-758-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "JESSICA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-29",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT1122743",
"primary": true
},
{
"code": "1744R1103X",
"taxonomy_group": "",
"desc": "Specialist, Research Data Abstracter/Coder",
"state": "TX",
"license": "MT112743",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "WYKOFF",
"middle_name": "JANE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.