Individual provider Active NPI

Samantha Susan Weiss

  • Massage Therapist
  • Ogden, UT
National Provider Identifier
1205727971
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
9262545-4701 Issued in UT
Practice address
2348 Kiesel Ave
Ogden, UT 84401-1964
Phone
(801) 528-5066
NPI assigned
Jul 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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 9262545-4701 UT Primary

Addresses

Primary practice location

2348 Kiesel Ave
Ogden, UT 84401-1964

Mailing address

2348 Kiesel Ave
Ogden, UT 84401-1964
Phone (801) 528-5066

Other practice location 1

1808 W 1800 N Ste A
Clinton, UT 84015-8503
Phone (801) 217-3133

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
9262545-4701UTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutix Mind & Body Inc Massage Therapist CurrentSince Jul 13, 2025 Accepting new patients
Therapeutix of Clinton LLC Massage Therapist PastSince Oct 15, 2023 Accepting new patients

Locations

1808 W 1800 N
Ste A
Clinton, UT 84015
Phone (801) 217-3133

2348 Kiesel Ave
Ogden, UT 84401
Phone (801) 528-5066

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": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1205727971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 KIESEL AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011964",
            "telephone_number": "801-528-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 KIESEL AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011964",
            "telephone_number": "801-528-5066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1808 W 1800 N Ste A",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "UT",
            "postal_code": "840158503",
            "country_code": "US",
            "telephone_number": "801-217-3133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "SAMANTHA",
        "middle_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "9262545-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.