Individual provider Active NPI

Angela Crumly, LMT

  • Massage Therapist
  • Muscatine, IA
National Provider Identifier
1558906255
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
098119 Issued in IA
Practice address
801 Oregon
Suite 6
Muscatine, IA 52761-5276
Phone
(563) 272-0534
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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 098119 IA Primary

Addresses

Primary practice location

801 Oregon
Suite 6
Muscatine, IA 52761-5276

Mailing address

106 Cedar St
Fruitland, IA 52749-9300
Phone (563) 571-5560

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Massagebook Direct

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
098119IAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1558906255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CEDAR ST",
            "city": "FRUITLAND",
            "state": "IA",
            "postal_code": "527499300",
            "telephone_number": "563-571-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OREGON",
            "address_2": "SUITE 6",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615276",
            "telephone_number": "563-272-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMLY",
        "first_name": "ANGELA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IA",
            "license": "098119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Massagebook",
            "affiliation": "N",
            "endpointDescription": "Massage program",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Soap note program",
            "address_1": "106 Cedar St",
            "city": "Fruitland",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527499300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.