Active NPI
Mandy Wyatt, LMT # 5693
- Massage Therapist
- Littleton, CO
National Provider Identifier
1053785188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0005693
- Practice address
- 8906 W Bowles Ave
Suite #110
Littleton, CO 80123-8606 - Phone
- (720) 345-8008
- NPI assigned
- Dec 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | MT.0005693 | CO | Primary |
Addresses
Primary practice location
8906 W Bowles Ave
Suite #110
Littleton, CO 80123-8606
Mailing address
PO Box 200624
Denver, CO 80220
Phone (720) 345-8008
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 |
|---|---|---|---|
| MT.0005693 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1053785188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200624",
"city": "DENVER",
"state": "CO",
"postal_code": "80220",
"telephone_number": "720-345-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8906 W BOWLES AVE",
"address_2": "SUITE #110",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801238606",
"telephone_number": "720-345-8008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "MANDY",
"name_prefix": "Ms.",
"credential": "LMT # 5693",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-01",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0005693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.