Active NPI
Amy Klewicki
- Massage Therapist
- Oshkosh, WI
National Provider Identifier
1346571114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2935-046
- Practice address
- 518 Ohio St
Oshkosh, WI 54902-5904 - Phone
- (920) 979-0791
- NPI assigned
- Jan 19, 2010
- 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 | 2935-046 | WI | Primary |
Addresses
Primary practice location
518 Ohio St
Oshkosh, WI 54902-5904
Mailing address
PO Box 1033
Oshkosh, WI 54903-1033
Phone (920) 979-0791
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 |
|---|---|---|---|
| 2935-046 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263859200000",
"number": "1346571114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1033",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549031033",
"telephone_number": "920-979-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 OHIO ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549025904",
"telephone_number": "920-979-0791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEWICKI",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-19",
"last_updated": "2010-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "2935-046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.