Active NPI
Amanda E Burch, LMT
- Massage Therapist
- Daytona Beach, FL
National Provider Identifier
1376834853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA62336
- Practice address
- 543 South Ridgewood Avw
Daytona Beach, FL 32114-0000 - Phone
- (386) 253-1113
- NPI assigned
- May 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | MA62336 | FL | Primary |
Addresses
Primary practice location
543 South Ridgewood Avw
Daytona Beach, FL 32114-0000
Mailing address
560 Reed Canal Rd
#132
South Daytona, FL 32119-8536
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 |
|---|---|---|---|
| MA62336 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daytona Chiropractic Clinic LLC | 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.
-
- Chiropractor
- Daytona Beach, FL
- NPI 1194857359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1376834853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 REED CANAL RD",
"address_2": "#132",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321198536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 SOUTH RIDGEWOOD AVW",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321140000",
"telephone_number": "386-253-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "AMANDA",
"middle_name": "E",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA62336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.