Amber Simerly Magliocca, LMBT, CPT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

1237 Issued in NC

Practice address

410 New Bridge St Ste 7B
Jacksonville, NC 28540-4759

Phone

(704) 668-7482

NPI assigned

Sep 25, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1003423880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 WILLIAMS ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404908",
            "telephone_number": "704-668-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 NEW BRIDGE ST STE 7B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404759",
            "telephone_number": "704-668-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLIOCCA",
        "first_name": "AMBER",
        "middle_name": "SIMERLY",
        "credential": "LMBT, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "1237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.thaihealingarts.us",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "410 New Bridge St Ste 7B",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285404759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Sanjay Mahat, MD
• Hilary B Mahoney, LCSWA
• Janie M Maides, R.N.
• Making Transitions PC
• Malachi Behavioral Healthcare,Inc

• Massage Therapist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.