Individual provider Active NPI

Lydia Amy Howe

  • Massage Therapist
  • Chicago, IL
National Provider Identifier
1346631439
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227001168 Issued in IL
Practice address
3259 N Ashland Ave
Chicago, IL 60657-2129
Phone
(773) 370-3174
NPI assigned
Feb 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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 227001168 IL Primary

Addresses

Primary practice location

3259 N Ashland Ave
Chicago, IL 60657-2129

Mailing address

5054 North St.Louis Avenue
Chicago, IL 60625-5529
Phone (773) 370-3174

Other identifiers 1

IdentifierTypeStateIssuer
1750586749OtherILTOTAL BALANCE CHIROPRACTIC

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
227001168ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1346631439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5054 NORTH ST.LOUIS AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255529",
            "telephone_number": "773-370-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572129",
            "telephone_number": "773-370-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWE",
        "first_name": "LYDIA",
        "middle_name": "AMY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227001168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL BALANCE CHIROPRACTIC",
            "identifier": "1750586749",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.