Active NPI
Amy Leow, MA, R-DMT
- Dance Therapist
- Evanston, IL
National Provider Identifier
1275205916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dance Therapist
- Practice address
- 2130 Green Bay Rd
Evanston, IL 60201-3026 - Phone
- (847) 425-9708
- NPI assigned
- Oct 1, 2021
- 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 |
|---|---|---|---|---|
| Dance Therapist | 225600000X | Primary |
Addresses
Primary practice location
2130 Green Bay Rd
Evanston, IL 60201-3026
Mailing address
1190 Glenview Ave
Milwaukee, WI 53213-3012
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for Therapy Through the Arts | Dance Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Evanston, IL
- NPI 1154708899
Dance Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1275205916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 GLENVIEW AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532133012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 GREEN BAY RD",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013026",
"telephone_number": "847-425-9708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEOW",
"first_name": "AMY",
"credential": "MA, R-DMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-01",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225600000X",
"taxonomy_group": "",
"desc": "Dance Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.