Active NPI
Michelle D Ozenbaugh, LMT
- Massage Therapist
- Glendale, AZ
National Provider Identifier
1376908509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-01748P
- Practice address
- 8922 W Ocotillo Rd
Glendale, AZ 85305-2052 - Phone
- (623) 872-3877
- NPI assigned
- Dec 14, 2015
- 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 | MT-01748P | AZ | Primary |
Addresses
Primary practice location
8922 W Ocotillo Rd
Glendale, AZ 85305-2052
Mailing address
8922 W Ocotillo Rd
Glendale, AZ 85305-2052
Phone (623) 872-3877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT-01748P | Other | AZ | MT LICENSE |
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-01748P | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450051200000",
"number": "1376908509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8922 W OCOTILLO RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853052052",
"telephone_number": "623-872-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8922 W OCOTILLO RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853052052",
"telephone_number": "623-872-3877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZENBAUGH",
"first_name": "MICHELLE",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-14",
"last_updated": "2015-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-01748P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT LICENSE",
"identifier": "MT-01748P",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.