Active NPI
Amy Angulo, LMT, LPN
- Massage Therapist
- Canyon Lake, CA
National Provider Identifier
1831580638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 73149
- Practice address
- 23494 Schooner Dr
Canyon Lake, CA 92587-7462 - Phone
- (406) 214-6030
- Fax
- (406) 204-1201
- NPI assigned
- Feb 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LMT-LMT-LIC-6249 | MT | |
| Massage Therapist | 225700000X | 73149 | CA | Primary |
Addresses
Primary practice location
23494 Schooner Dr
Canyon Lake, CA 92587-7462
Mailing address
23494 Schooner Dr
Canyon Lake, CA 92587-7462
Phone (406) 214-6030
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73149 | CA | MD | Pharmacist |
| LMT-LMT-LIC-6249 | MT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1831580638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23494 SCHOONER DR",
"city": "CANYON LAKE",
"state": "CA",
"postal_code": "925877462",
"telephone_number": "406-214-6030",
"fax_number": "406-204-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23494 SCHOONER DR",
"city": "CANYON LAKE",
"state": "CA",
"postal_code": "925877462",
"telephone_number": "406-214-6030",
"fax_number": "406-204-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGULO",
"first_name": "AMY",
"credential": "LMT, LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-15",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "LMT-LMT-LIC-6249",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "73149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canyon Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.