Active NPI
Amanda Potts, LMT
- Massage Therapist
- Aurora, IL
National Provider Identifier
1194133785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227.015437
- Practice address
- 3845 McCoy Dr
#105
Aurora, IL 60504-4428 - Phone
- (630) 499-2583
- NPI assigned
- Jul 26, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 227.015437 | IL | Primary |
Addresses
Primary practice location
3845 McCoy Dr
#105
Aurora, IL 60504-4428
Mailing address
584 Donna Ave
Aurora, IL 60505-1074
Phone (815) 600-5220
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 |
|---|---|---|---|
| 227.015437 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406332800000",
"number": "1194133785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 DONNA AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605051074",
"telephone_number": "815-600-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3845 MCCOY DR",
"address_2": "#105",
"city": "AURORA",
"state": "IL",
"postal_code": "605044428",
"telephone_number": "630-499-2583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTS",
"first_name": "AMANDA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-26",
"last_updated": "2014-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227.015437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.