Active NPI
Amanda Denman
- Massage Therapist
- Surprise, AZ
National Provider Identifier
1326612797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-0455P
- Practice address
- 14719 W Grand Ave BLDG B
Surprise, AZ 85374-7203 - Phone
- (623) 471-9355
- NPI assigned
- May 19, 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-0455P | AZ | Primary |
Addresses
Primary practice location
14719 W Grand Ave BLDG B
Surprise, AZ 85374-7203
Mailing address
PO Box 462
Buckeye, AZ 85326-0035
Phone (602) 350-0707
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 |
|---|---|---|---|
| MT-0455P | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1326612797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 462",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853260035",
"telephone_number": "602-350-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14719 W GRAND AVE BLDG B",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853747203",
"telephone_number": "623-471-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENMAN",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-0455P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.