Active NPI
Agueda Lizbeth Montoya
- Massage Therapist
- Oklahoma City, OK
National Provider Identifier
1588493340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 173276
- Practice address
- 13316 S Western Ave Ste J&K
Oklahoma City, OK 73170-7302 - Phone
- (405) 548-5693
- NPI assigned
- Jul 30, 2024
- 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 | 173276 | OK | Primary |
Addresses
Primary practice location
13316 S Western Ave Ste J&K
Oklahoma City, OK 73170-7302
Mailing address
5413 S Land Ave
Oklahoma City, OK 73119-5443
Phone (405) 543-5660
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 |
|---|---|---|---|
| 173276 | OK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1588493340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5413 S LAND AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731195443",
"telephone_number": "405-543-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13316 S WESTERN AVE STE J&K",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731707302",
"telephone_number": "405-548-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOYA",
"first_name": "AGUEDA",
"middle_name": "LIZBETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OK",
"license": "173276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.