Individual provider Active NPI

Jayden Henderson, LMT

  • Massage Therapist
  • Georgetown, KY
National Provider Identifier
1982490231
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
294970 Issued in KY
Practice address
108 Osborne Way Ste 6
Georgetown, KY 40324-9693
Phone
(859) 251-3402
Fax
(502) 867-0560
NPI assigned
Apr 15, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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 294970 KY Primary

Addresses

Primary practice location

108 Osborne Way Ste 6
Georgetown, KY 40324-9693

Mailing address

3738 Solution Center Lockbox #773738
Chicago, IL 60677-0001
Phone (859) 251-3402

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
294970KYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Integrated Medicine PSC CurrentSince Apr 20, 2025 Accepting new patients
Chiro One Wellness Center of Georgetown PLLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

3738 Solutions Ctr
#773738
Chicago, IL 60677

108 Osborne Way
Ste 6
Georgetown, KY 40324
Phone (502) 316-6533

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": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1982490231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 SOLUTION CENTER LOCKBOX #773738",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770001",
            "telephone_number": "859-251-3402",
            "fax_number": "502-867-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OSBORNE WAY STE 6",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249693",
            "telephone_number": "859-251-3402",
            "fax_number": "502-867-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JAYDEN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "294970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.