Active NPI
Samantha Irene Conroy, MASSAGE THERAPIST
- Massage Therapist
- Anchorage, AK
National Provider Identifier
1447953328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 144376
- Practice address
- 500 E Benson Blvd
Anchorage, AK 99503-4148 - Phone
- (907) 561-4474
- NPI assigned
- Mar 22, 2023
- Last updated
- Mar 22, 2023
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 144376 | AK | Primary |
Addresses
Primary practice location
500 E Benson Blvd
Anchorage, AK 99503-4148
Mailing address
421 Taylor St
Anchorage, AK 99508-1107
Phone (607) 435-9336
Other names 1
- Samantha Irene Pick
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 |
|---|---|---|---|
| 144376 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundog Wellness LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Anchorage, AK
- NPI 1821577032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1447953328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 TAYLOR ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995081107",
"telephone_number": "607-435-9336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E BENSON BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034148",
"telephone_number": "907-561-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONROY",
"first_name": "SAMANTHA",
"middle_name": "IRENE",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "144376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "PICK",
"middle_name": "IRENE",
"credential": "MASSAGE THERAPIST",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.