Active NPI
Cameron Z Sand, LMT, AOBTA-CP
- Massage Therapist
- Chicago, IL
National Provider Identifier
1447090626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227.022495
- Practice address
- 1022 W Armitage Ave
Chicago, IL 60614-4102 - Phone
- (312) 414-0058
- NPI assigned
- May 28, 2024
- Sex
- Unspecified or another gender identity
- 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 | 227.022495 | IL | Primary |
Addresses
Primary practice location
1022 W Armitage Ave
Chicago, IL 60614-4102
Mailing address
2239 N Kimball Ave Unit 1F
Chicago, IL 60647-3586
Phone (609) 320-0170
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 |
|---|---|---|---|
| 227.022495 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1447090626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2239 N KIMBALL AVE UNIT 1F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606473586",
"telephone_number": "609-320-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 W ARMITAGE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606144102",
"telephone_number": "312-414-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAND",
"first_name": "CAMERON",
"middle_name": "Z",
"credential": "LMT, AOBTA-CP",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227.022495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.