Amanda Hernandez Claudio

Individual provider Active NPI Massage Therapist · Delta Junction, AK

NPI 1750133567 · NPPES record last updated Apr 4, 2024

Key facts

NPI
1750133567
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
219591 (AK)
Practice address
1755 Richardson Hwy
Delta Junction, AK 99737
Phone
(907) 895-5055
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
219591AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arctic Chiropractic Delta Current
since Apr 9, 2024
Accepting new patients
Arctic Physical Therapy and Rehabilitation Delta Junction LLC Past
since Apr 9, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 219591 AK Yes

Addresses

Primary practice location

1755 Richardson Hwy
Delta Junction, AK 99737

Mailing address

PO Box 96
Delta Junction, AK 99737-0096

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 4, 2024.

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1750133567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997370096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 RICHARDSON HWY",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "99737",
            "telephone_number": "907-895-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ CLAUDIO",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "219591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta Junction, AK

All providers in Delta Junction, AK · Massage Therapist in Alaska

Sources for this page

Verify at the official NPI Registry.