Individual provider Active NPI

Amber Oneida Duncan, LMT

  • Massage Therapist
  • Milan, MI
National Provider Identifier
1205508264
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501007717 Issued in MI
Practice address
903 Dexter St
Milan, MI 48160-1160
Phone
(151) 726-0718
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 7501007717 MI Primary

Addresses

Primary practice location

903 Dexter St
Milan, MI 48160-1160

Mailing address

5373 Osburn Dr
Tecumseh, MI 49286-9587
Phone (517) 250-5833

Other practice location 1

105 S Pearl St
Tecumseh, MI 49286-1951
Phone (517) 423-3600

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
7501007717MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Massage Therapy Wellness Center CurrentSince Oct 5, 2021 Accepting new patients
Sean T Edison PC Single Specialty PastSince Jun 1, 2000 Accepting new patients

Locations

903 Dexter St
Milan, MI 48160
Phone (734) 508-7036

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1205508264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5373 OSBURN DR",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492869587",
            "telephone_number": "517-250-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 DEXTER ST",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481601160",
            "telephone_number": "151-726-0718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S Pearl St",
            "address_purpose": "LOCATION",
            "city": "Tecumseh",
            "state": "MI",
            "postal_code": "492861951",
            "country_code": "US",
            "telephone_number": "517-423-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "AMBER",
        "middle_name": "ONEIDA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501007717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.