Amy Beth Burrell

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT20902125 Issued in IN

Practice address

1713 N College Ave Ste 1
Bloomington, IN 47404-2479

Phone

(812) 337-3529

NPI assigned

Oct 8, 2019

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

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1104468495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 W KIRKWOOD AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474045062",
            "telephone_number": "812-325-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 N COLLEGE AVE STE 1",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042479",
            "telephone_number": "812-337-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "AMY",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT20902125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Burns, BA
• Claudia A Burns, DPT
• Erik David Burns, ADICTIONS COUNSELOR
• Jordan Michael Burns, D.C.
• Michael R Burns, N.P.
• Cloey Burris, RBT
• Kaylee Burris, RBT
• Lester Burris II
• Tianna Rene Burroughs, LCSW
• Shauna Marie Burton, L. AC.

• Massage Therapist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.