Individual provider Active NPI

Amy A. Wardwell, L.M.T.

  • Massage Therapist
  • Cincinnati, OH
National Provider Identifier
1548454911
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33-00-7407 Issued in OH
Practice address
8595 Beechmont Ave Ste 200
Cincinnati, OH 45255-4740
Phone
(513) 752-1663
Fax
(513) 752-7728
NPI assigned
Aug 29, 2007
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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 33-00-7407 OH Primary

Addresses

Primary practice location

8595 Beechmont Ave Ste 200
Cincinnati, OH 45255-4740

Mailing address

3357 Jenny Lind Rd
Amelia, OH 45102-1848
Phone (513) 752-1663

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

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1548454911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3357 JENNY LIND RD",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021848",
            "telephone_number": "513-752-1663",
            "fax_number": "513-752-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 BEECHMONT AVE STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554740",
            "telephone_number": "513-752-1663",
            "fax_number": "513-752-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDWELL",
        "first_name": "AMY",
        "middle_name": "A.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33-00-7407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

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.

Verify at the official NPI Registry.