Individual provider Active NPI

Akwedmiel Mnahsheh, LMT

  • Massage Therapist
  • Bronx, NY
National Provider Identifier
1205543527
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
033172 Issued in NY
Practice address
943 Fteley Ave Apt 4B
Bronx, NY 10473-4085
Phone
(347) 962-0343
NPI assigned
Nov 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 033172 NY Primary

Addresses

Primary practice location

943 Fteley Ave Apt 4B
Bronx, NY 10473-4085

Mailing address

1160 Lebanon St Apt 6a
Bronx, NY 10460-2485
Phone (347) 962-0343

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
033172NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1205543527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 LEBANON ST APT 6A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104602485",
            "telephone_number": "347-962-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 FTELEY AVE APT 4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104734085",
            "telephone_number": "347-962-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MNAHSHEH",
        "first_name": "AKWEDMIEL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "033172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.