JUSTIN J JASKULA (NPI# 1083888549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083888549 |
| Entity Type | Individual |
| Full Name | JUSTIN J JASKULA |
| Credential | L.M.T. |
| Practice Address |
55 E Bridge St Oswego NY 13126-2120 |
| Mailing Address |
242 E 2nd St Oswego NY 13126-3105 |
| Practice Telephone | 3153426300 |
| Mailing Telephone | 3155295229 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 27 019904 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
55 E BRIDGE ST |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568569630 | Anthony Victor Licatese | Chiropractor | 55 E Bridge St, Oswego, NY 13126-2120 | 2006-09-20 |
| 1740476712 | Anthony V. Licatese, Dc, P.C. | Chiropractor | 55 E Bridge St, Oswego, NY 13126-2120 | 2007-09-24 |
| 1073604450 | Beth J Dubois | Chiropractor | 55 E Bridge St, Oswego, NY 13126-2120 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149213 | Elvis Olando Soto | Massage Therapist | 176 Presidential Blvd, Oswego, IL 60543-9816 | 2020-09-16 |
| 1194369900 | Josefina Caro | Massage Therapist | 3050 Us Highway 34, Oswego, IL 60543-8333 | 2019-11-05 |
| 1558843557 | Caroline Erika Andrews | Massage Therapist | 45 1/2 W Bridge St, Oswego, NY 13126-2024 | 2018-09-05 |
| 1295037984 | Sarah Louise Hohmann | Massage Therapist | 5375 Route 34, Unit # 3, Oswego, IL 60543-8587 | 2010-12-01 |
| 1912145673 | Wendy J. Manno | Massage Therapist | 436 Camden Cir, Oswego, IL 60543-8045 | 2009-02-03 |
| 1154933851 | Shannon Mccann | Massage Therapist | 127 E 1st St, Oswego, NY 13126-2104 | 2020-08-24 |
| 1538523543 | Chawn Warren Crawley | Massage Therapist | 104 W Utica St, Suite Cc, Oswego, NY 13126-3031 | 2016-04-06 |
| 1538564711 | Sharon Vogel | Massage Therapist | 1144 Douglas Rd, Oswego, IL 60543-9040 | 2014-10-29 |
| 1467861344 | Rosalba Lopez | Massage Therapist | 1144 Douglas Rd, Oswego, IL 60543-9040 | 2014-08-05 |
| 1487063517 | Kelly Taylor | Massage Therapist | 1144 Douglas Rd, Oswego, IL 60543-9040 | 2014-08-01 |
| Find all providers in OSWEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.