Active NPI
Amy Catherine Iadarola, CERTIFIED ROLFER
- Mechanotherapist
- Silver Spring, MD
National Provider Identifier
1396039244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- M04594
- Practice address
- 3938 Lantern Dr
Silver Spring, MD 20902-2321 - Phone
- (301) 908-7847
- NPI assigned
- Jun 7, 2011
- Last updated
- Jun 7, 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | M04594 | MD | Primary |
Addresses
Primary practice location
3938 Lantern Dr
Silver Spring, MD 20902-2321
Mailing address
3938 Lantern Dr
Silver Spring, MD 20902-2321
Phone (301) 908-7847
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 |
|---|---|---|---|
| M04594 | MD | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1396039244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3938 LANTERN DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209022321",
"telephone_number": "301-908-7847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3938 LANTERN DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209022321",
"telephone_number": "301-908-7847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IADAROLA",
"first_name": "AMY",
"middle_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "CERTIFIED ROLFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "MD",
"license": "M04594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.