Individual provider Active NPI

Melanie K Doty, LMT

  • Massage Therapist
  • Evansville, IN
National Provider Identifier
1780442160
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT22308199 Issued in IN
Practice address
701 N Weinbach Ave
Evansville, IN 47711-5990
Phone
(812) 760-3535
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 MT22308199 IN Primary

Addresses

Primary practice location

701 N Weinbach Ave
Evansville, IN 47711-5990

Mailing address

1728 Southeast Blvd
Evansville, IN 47714-2108
Phone (812) 760-3535

Other practice location 1

3101 N. Greenriver Rd.
Evansville, IN 47715
Phone (812) 760-3535

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
MT22308199INMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1780442160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 SOUTHEAST BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477142108",
            "telephone_number": "812-760-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N WEINBACH AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477115990",
            "telephone_number": "812-760-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 N. Greenriver Rd.",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "47715",
            "country_code": "US",
            "telephone_number": "812-760-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOTY",
        "first_name": "MELANIE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT22308199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.