Active NPI
Amanda Koch
- Massage Therapist
- Easton, PA
National Provider Identifier
1568816908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG010108
- Practice address
- 3615 Nicholas St
Easton, PA 18045-5113 - Phone
- (610) 252-2216
- Fax
- (610) 252-5597
- NPI assigned
- Apr 22, 2016
- 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 | MSG010108 | PA | Primary |
Addresses
Primary practice location
3615 Nicholas St
Easton, PA 18045-5113
Mailing address
508 English Rd
Bath, PA 18014-9211
Phone (484) 893-9650
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 |
|---|---|---|---|
| MSG010108 | PA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461283200000",
"number": "1568816908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 ENGLISH RD",
"city": "BATH",
"state": "PA",
"postal_code": "180149211",
"telephone_number": "484-893-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 NICHOLAS ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180455113",
"telephone_number": "610-252-2216",
"fax_number": "610-252-5597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-22",
"last_updated": "2016-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG010108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.