Active NPI
Kimberly Lynn Oswald, L.M.T.
- Massage Therapist
- Long Grove, IL
National Provider Identifier
1376881565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227013647
- Practice address
- 3976 W Il Route 22
Suite D
Long Grove, IL 60047 - Phone
- (847) 401-3266
- NPI assigned
- Jan 22, 2013
- 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 | 227013647 | IL | Primary |
Addresses
Primary practice location
3976 W Il Route 22
Suite D
Long Grove, IL 60047
Mailing address
1910 Morning Song CT
Apt 101
Schaumburg, IL 60194-4436
Other names 1
- Miss Kimberly Lynn Helton
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 |
|---|---|---|---|
| 227013647 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1376881565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 MORNING SONG CT",
"address_2": "APT 101",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601944436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3976 W IL ROUTE 22",
"address_2": "SUITE D",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "60047",
"telephone_number": "847-401-3266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSWALD",
"first_name": "KIMBERLY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-22",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227013647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "HELTON",
"middle_name": "LYNN",
"prefix": "MISS",
"credential": "L.M.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Long Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.