Individual provider Active NPI

Amanda Armbrust-Asselin, MT, CMLDT

  • Massage Therapist
  • Providence, RI
National Provider Identifier
1770969487
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT02207 Issued in RI
Practice address
251 Waterman St
Providence, RI 02906-5210
Phone
(401) 453-4263
NPI assigned
Aug 4, 2015
Sex
Female
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.

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT02207RIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Kneads, Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT02207 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

251 Waterman St
Providence, RI 02906-5210

Mailing address

251 Waterman St
Providence, RI 02906-5210
Phone (401) 453-4263

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2015.

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1770969487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065210",
            "telephone_number": "401-453-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065210",
            "telephone_number": "401-453-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMBRUST-ASSELIN",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "MT, CMLDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "RI",
            "license": "MT02207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.