Active NPI
Samantha Jo Conway, LMT
- Massage Therapist
- Colorado Springs, CO
National Provider Identifier
1497583801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0021560
- Practice address
- 3920 N Union Blvd Ste 160
Colorado Springs, CO 80907-4907 - Phone
- (719) 632-4754
- Fax
- (719) 471-3734
- NPI assigned
- Jul 25, 2024
- Sex
- Female
- 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 | MT.0021560 | CO | Primary |
Addresses
Primary practice location
3920 N Union Blvd Ste 160
Colorado Springs, CO 80907-4907
Mailing address
29 Dorchester Dr
Colorado Springs, CO 80905-2172
Phone (719) 343-0707
Other practice location 1
29 Dorchester Dr
Colorado Springs, CO 80905-2172
Phone (719) 343-0707
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 |
|---|---|---|---|
| MT.0021560 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1497583801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 DORCHESTER DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809052172",
"telephone_number": "719-343-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 N UNION BLVD STE 160",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074907",
"telephone_number": "719-632-4754",
"fax_number": "719-471-3734"
}
],
"practiceLocations": [
{
"address_1": "29 Dorchester Dr",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809052172",
"country_code": "US",
"telephone_number": "719-343-0707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONWAY",
"first_name": "SAMANTHA",
"middle_name": "JO",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-25",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0021560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.