Active NPI
Amy L Kinman, LMT
- Massage Therapist
- Bozeman, MT
National Provider Identifier
1124598610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13689
- Practice address
- 611 N Wallace Ave Ste 2
Bozeman, MT 59715-3082 - Phone
- (406) 539-4691
- NPI assigned
- Nov 28, 2018
- 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 | 13689 | MT | Primary |
Addresses
Primary practice location
611 N Wallace Ave Ste 2
Bozeman, MT 59715-3082
Mailing address
1109 S Spruce Dr
Bozeman, MT 59715-5952
Phone (406) 539-4691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMT-LIC-13689 | Other | MT | LICENSED MASSAGE THERAPIST |
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 |
|---|---|---|---|
| 13689 | MT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1124598610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 S SPRUCE DR",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597155952",
"telephone_number": "406-539-4691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 N WALLACE AVE STE 2",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153082",
"telephone_number": "406-539-4691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINMAN",
"first_name": "AMY",
"middle_name": "L",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-28",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "13689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASSAGE THERAPIST",
"identifier": "LMT-LIC-13689",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.