Active NPI
Amy Marie McNeal, A.A.S.L.M.T
- Massage Therapist
- Bonita Springs, FL
National Provider Identifier
1659683076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA56347
- Practice address
- 28811 S. Tamiami Trail Unit 13-14
Bonita Springs, FL 34134 - Phone
- (239) 948-5555
- Fax
- (239) 948-3325
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | MA56347 | FL | Primary |
Addresses
Primary practice location
28811 S. Tamiami Trail Unit 13-14
Bonita Springs, FL 34134
Mailing address
PO Box 1916
Bonita Springs, FL 34133
Phone (615) 556-2812
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 |
|---|---|---|---|
| MA56347 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1659683076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1916",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "34133",
"telephone_number": "615-556-2812",
"fax_number": "239-498-1256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28811 S. TAMIAMI TRAIL UNIT 13-14",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "34134",
"telephone_number": "239-948-5555",
"fax_number": "239-948-3325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEAL",
"first_name": "AMY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "A.A.S.L.M.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA56347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.