Active NPI
Aaron Jacob Witz, LMT
- Massage Therapist
- St Charles, IL
National Provider Identifier
1407414964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 22714676
- Practice address
- 453 Dunham Rd Ste 200
St Charles, IL 60174-1451 - Phone
- (314) 315-1479
- NPI assigned
- May 30, 2019
- Sex
- Male
- 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 | 22714676 | IL | Primary |
Addresses
Primary practice location
453 Dunham Rd Ste 200
St Charles, IL 60174-1451
Mailing address
650 Carroll SQ Apt 6
Elk Grove Village, IL 60007-1546
Phone (847) 922-8028
Other practice location 1
650 Carroll Sq Apt 6
Elk Grove Village, IL 60007-1546
Phone (847) 922-8028
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 |
|---|---|---|---|
| 22714676 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1407414964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 CARROLL SQ APT 6",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600071546",
"telephone_number": "847-922-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 DUNHAM RD STE 200",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741451",
"telephone_number": "314-315-1479"
}
],
"practiceLocations": [
{
"address_1": "650 Carroll Sq Apt 6",
"address_purpose": "LOCATION",
"city": "Elk Grove Village",
"state": "IL",
"postal_code": "600071546",
"country_code": "US",
"telephone_number": "847-922-8028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITZ",
"first_name": "AARON",
"middle_name": "JACOB",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-30",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "22714676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.