Individual provider Active NPI

Ashley Smith Dwyer, LMBT

  • Massage Therapist
  • Mint Hill, NC
National Provider Identifier
1508350885
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14844 Issued in NC
Practice address
4732 Lebanon Rd
Suite a
Mint Hill, NC 28227-9112
Phone
(704) 763-2059
Fax
(980) 317-8495
NPI assigned
Jun 19, 2018
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 14844 NC Primary

Addresses

Primary practice location

4732 Lebanon Rd
Suite a
Mint Hill, NC 28227-9112

Mailing address

4732 Lebanon Rd
Suite a
Mint Hill, NC 28227-9112
Phone (704) 763-2059

Other practice location 1

4732 Lebanon Rd Ste D
Mint Hill, NC 28227-9112
Phone (704) 763-2059

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
14844NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fire & Ice Therapeutic Massage,LLC Massage Therapist CurrentSince Jan 26, 2020 Accepting new patients

Locations

4732 Lebanon Rd
Ste A
Mint Hill, NC 28227
Phone (704) 763-2059

4732 Lebanon Rd
Ste D
Mint Hill, NC 28227
Phone (704) 763-2059

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.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1508350885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4732 LEBANON RD",
            "address_2": "SUITE A",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279112",
            "telephone_number": "704-763-2059",
            "fax_number": "980-317-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 LEBANON RD",
            "address_2": "SUITE A",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279112",
            "telephone_number": "704-763-2059",
            "fax_number": "980-317-8495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4732 Lebanon Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Mint Hill",
            "state": "NC",
            "postal_code": "282279112",
            "country_code": "US",
            "telephone_number": "704-763-2059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWYER",
        "first_name": "ASHLEY",
        "middle_name": "SMITH",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "14844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.