Antoinette M Dyer, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

4156 Issued in SC

Practice address

122 Memorial Dr
Greer, SC 29650-1517

Phone

(864) 363-5382

NPI assigned

Feb 3, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Antoinette M Johnsen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1517616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517616000000",
    "number": "1528567724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WILLIAMS RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901907",
            "telephone_number": "864-363-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MEMORIAL DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501517",
            "telephone_number": "864-363-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "ANTOINETTE",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-03",
        "last_updated": "2018-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "4156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTOINETTE",
            "last_name": "JOHNSEN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gina Danielle Dressler, WHNP
• DTM Pharmacy, LLC (DTM Pharmacy)
• Joseph Andrew Dupuy, DC
• Kimberly Durrah
• Ethan Michael Dutka, DPT
• E and G St. John LLC
• Ryan Zachary Eads, PT, DPT
• Eagle Group Counseling and Consulting
• Julius R Earle Jr., M.D.
• Melissa Marie Earles, M.D.

• Massage Therapist in Greer, SC
• Providers in Greer, SC by specialty
• Massage Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2018; 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.