Samantha D Elliot, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

101769 Issued in AK

Practice address

11431 Business Blvd Ste 601
Eagle River, AK 99577-7738

Phone

(907) 694-7700

Fax

(907) 694-7010

NPI assigned

Jul 6, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Arctic Chiropractic & Physical Medicine Eagle River LLC

  • Chiropractor
  • Eagle River, AK
  • NPI 1891198875
  NPD (past)
• Chiro One Wellness Center of Eagle River LLC

  • Chiropractor
  • Eagle River, AK
  • NPI 1396437463
  NPD (past)

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1790206191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N ROBIN LN",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458777",
            "telephone_number": "907-715-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11431 BUSINESS BLVD STE 601",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777738",
            "telephone_number": "907-694-7700",
            "fax_number": "907-694-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOT",
        "first_name": "SAMANTHA",
        "middle_name": "D",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Ecker, CDC I
• Natalie Elaine Efird, MASSAGE THERAPIST
• Mary Ann Egbert, ANP
• Brittany Ellana Eibeck
• Lindsay Rachel Ekiss, ANP
• Thomas Joseph Elton, M.D.
• Enghirst Corporation
• Bryan J Enghirst, DDS
• Camden Robert Ensign
• Eric Unruh Counseling, LLC

• Massage Therapist in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.