Active NPI
Amanda Ann Morgan, LMT
- Massage Therapist
- Paducah, KY
National Provider Identifier
1053935197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 106414
- Practice address
- 2357 New Holt Rd
Paducah, KY 42001-7404 - Phone
- (270) 554-0090
- NPI assigned
- Jun 4, 2020
- 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 | 106414 | KY | Primary |
Addresses
Primary practice location
2357 New Holt Rd
Paducah, KY 42001-7404
Mailing address
2357 New Holt Rd
Paducah, KY 42001-7404
Phone (270) 554-0090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106414 | Other | KY | KY MASSAGE BOARD |
| 179788 | Other | KY | AMTA |
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 |
|---|---|---|---|
| 106414 | KY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1053935197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2357 NEW HOLT RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017404",
"telephone_number": "270-554-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2357 NEW HOLT RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017404",
"telephone_number": "270-554-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "AMANDA",
"middle_name": "ANN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-04",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "106414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MASSAGE BOARD",
"identifier": "106414",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMTA",
"identifier": "179788",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.