Individual provider Active NPI

Amanda Joy Schroeder, CMT, LMT

  • Massage Therapist
  • Woodbury, MN
National Provider Identifier
1437862885
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
44-01-MTL Issued in MN
Practice address
6043 Hudson Rd Ste 300K
Woodbury, MN 55125-1017
Phone
(651) 442-2161
NPI assigned
Dec 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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 44-01-MTL MN Primary

Addresses

Primary practice location

6043 Hudson Rd Ste 300K
Woodbury, MN 55125-1017

Mailing address

PO Box 600564
Saint Paul, MN 55106-0010
Phone (651) 442-2161

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL massagebook.com Other

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
44-01-MTLMNMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1437862885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600564",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551060010",
            "telephone_number": "651-442-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 HUDSON RD STE 300K",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251017",
            "telephone_number": "651-442-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "AMANDA",
        "middle_name": "JOY",
        "credential": "CMT, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "44-01-MTL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "massagebook.com",
            "affiliation": "N",
            "endpointDescription": "paid subscription to secure website for marketing, scheduling, communication and SOAP note taking",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "scheduling, etc. as described above",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "private",
            "address_1": "6043 Hudson Rd Ste 300K",
            "city": "Woodbury",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551251017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.