Active NPI
Amanda Jo Carter, LMT
- Massage Therapist
- Spring Hill, TN
National Provider Identifier
1043494628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3196
- Practice address
- 1038 Golf View Way
Spring Hill, TN 37174-5127 - Phone
- (615) 423-9568
- NPI assigned
- Dec 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 3196 | TN | Primary |
Addresses
Primary practice location
1038 Golf View Way
Spring Hill, TN 37174-5127
Mailing address
1038 Golf View Way
Spring Hill, TN 37174-5127
Phone (615) 423-9568
Other names 1
- Mrs. Amanda Jo Iwanciw
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 |
|---|---|---|---|
| 3196 | TN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodyworks Massage Therapy | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Franklin, TN
- NPI 1558545137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1043494628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1038 GOLF VIEW WAY",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371745127",
"telephone_number": "615-423-9568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1038 GOLF VIEW WAY",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371745127",
"telephone_number": "615-423-9568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "AMANDA",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-19",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "3196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "IWANCIW",
"middle_name": "JO",
"prefix": "MRS.",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Spring Hill, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.