Amy Lou Rodriguez

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT00303400 Issued in NJ

Practice address

1641 Marshall Mill Rd
Franklinville, NJ 08322-2041

Phone

(856) 848-5500

NPI assigned

Dec 15, 2017

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

Other identifiers 3

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": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1013423938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 MARSHALL MILL RD",
            "city": "FRANKLINVILLE",
            "state": "NJ",
            "postal_code": "083222041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 MARSHALL MILL RD",
            "city": "FRANKLINVILLE",
            "state": "NJ",
            "postal_code": "083222041",
            "telephone_number": "856-848-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "AMY",
        "middle_name": "LOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00303400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMTA",
            "identifier": "115854",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCTMB",
            "identifier": "303588-00",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katia Natcheva
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• Daniel Pilling, L.P.C.
• Kristin Reyes
• Christina Lydia Rivers
• Daniel Roman
• Kelley A Salmons, LADC-II, ICADC
• Mildred L Sampson, RN
• Catherine Sheridan, APN
• Patricia A Stickles

• Massage Therapist in Franklinville, NJ
• Providers in Franklinville, NJ by specialty
• Massage Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.