Individual provider Active NPI

Aaron Jacob Witz, LMT

  • Massage Therapist
  • St Charles, IL
National Provider Identifier
1407414964
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
22714676 Issued in IL
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

Updated by the provider on May 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
22714676ILMDMassage 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.

Verify at the official NPI Registry.