Individual provider Active NPI

Amanda Dawn Crenshaw, LMT

  • Massage Therapist
  • Panama City, FL
National Provider Identifier
1609768860
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA99366 Issued in FL
Practice address
6138 E Highway 98
Panama City, FL 32404-7421
Phone
(850) 792-7910
Fax
(866) 335-0534
NPI assigned
Jul 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 MA99366 FL Primary

Addresses

Primary practice location

6138 E Highway 98
Panama City, FL 32404-7421

Mailing address

6138 E Highway 98
Panama City, FL 32404-7421
Phone (850) 792-7910

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
MA99366FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1528869161 CurrentSince Jul 28, 2025 Accepting new patients

Locations

6138 E Highway 98
Panama City, FL 32404
Phone (850) 792-7910

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1609768860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6138 E HIGHWAY 98",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324047421",
            "telephone_number": "850-792-7910",
            "fax_number": "866-335-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6138 E HIGHWAY 98",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324047421",
            "telephone_number": "850-792-7910",
            "fax_number": "866-335-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA99366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.