Individual provider Active NPI

Athena Diane Swinford, LMT

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1659819209
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
4325 Laurel St Ste 265
Anchorage, AK 99508-5370
Phone
(907) 602-7273
Fax
(907) 562-0780
NPI assigned
Feb 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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 Primary

Addresses

Primary practice location

4325 Laurel St Ste 265
Anchorage, AK 99508-5370

Mailing address

4325 Laurel St Ste 265
Anchorage, AK 99508-5370
Phone (907) 602-7273

Other practice location 1

626 Cordova St 105
Advanced Body Solutions
Anchorage, AK 99501
Phone (907) 277-5525

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Body Solutions, Inc. Massage Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1659819209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 LAUREL ST STE 265",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085370",
            "telephone_number": "907-602-7273",
            "fax_number": "907-562-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 LAUREL ST STE 265",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085370",
            "telephone_number": "907-602-7273",
            "fax_number": "907-562-0780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 Cordova St 105",
            "address_2": "Advanced Body Solutions",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "99501",
            "country_code": "US",
            "telephone_number": "907-277-5525",
            "fax_number": "907-277-5526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWINFORD",
        "first_name": "ATHENA",
        "middle_name": "DIANE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.