Eric Dean Ashworth, LMT, CMLDT – Massage Therapist

Key facts

NPI: 1609699768
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: 2021050408 (MO)
Practice address: 743 W Battlefield St
Springfield, MO 65807-4125
Phone: (417) 849-9730
NPI assigned: Nov 6, 2024
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

White Oak Wellness Massage Therapist · Springfield, MO · NPI 1932838174

NPD MASSAGE THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2021050408	MO	MD	Massage Therapist

Practice roles

Organization	Specialty	Status	New patients
White Oak Wellness	Massage Therapist	Current since Nov 10, 2024	Accepting new patients

Locations

743 W Battlefield St
Springfield, MO 65807
Phone (417) 849-9730

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist	225700000X	2021050408	MO	Yes

Addresses

Primary practice location

743 W Battlefield St
Springfield, MO 65807-4125

Mailing address

2640 E Inman St
Springfield, MO 65804-4659
Phone (417) 894-7191

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 6, 2024.

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1609699768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 E INMAN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044659",
            "telephone_number": "417-894-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074125",
            "telephone_number": "417-849-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHWORTH",
        "first_name": "ERIC",
        "middle_name": "DEAN",
        "credential": "LMT, CMLDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2021050408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

All providers in Springfield, MO · Massage Therapist in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.