Individual provider Active NPI

Oluwatoyin Amanda Akintilo, LMT

  • Massage Therapist
  • Baltimore, MD
National Provider Identifier
1154883544
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M06011 Issued in MD
Practice address
3808 Callaway Ave
Apt a
Baltimore, MD 21215-7103
Phone
(443) 939-5144
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
M06011MDMDMassage Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X M06011 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

3808 Callaway Ave
Apt a
Baltimore, MD 21215-7103

Mailing address

3808 Callaway Ave
Apt a
Baltimore, MD 21215-7103
Phone (443) 939-5144

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2019.

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1154883544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 CALLAWAY AVE",
            "address_2": "APT A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157103",
            "telephone_number": "443-939-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 CALLAWAY AVE",
            "address_2": "APT A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157103",
            "telephone_number": "443-939-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINTILO",
        "first_name": "OLUWATOYIN",
        "middle_name": "AMANDA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M06011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.