Individual provider Active NPI

Amy Lee Clementz, LMT

  • Massage Therapist
  • York, PA
National Provider Identifier
1861217499
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG011247 Issued in PA
Practice address
875 Clare LN
York, PA 17402-4317
Phone
(717) 858-3552
NPI assigned
Nov 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 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 MSG011247 PA Primary

Addresses

Primary practice location

875 Clare LN
York, PA 17402-4317

Mailing address

460 Market St Ste 102
Williamsport, PA 17701-6321
Phone (570) 447-8795

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
MSG011247PAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Therapeutic Massage Massage Therapist CurrentSince Nov 24, 2024 Accepting new patients

Locations

875 Clare Ln
York, PA 17402
Phone (717) 840-3232

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.

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1861217499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MARKET ST STE 102",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016321",
            "telephone_number": "570-447-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 CLARE LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024317",
            "telephone_number": "717-858-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTZ",
        "first_name": "AMY",
        "middle_name": "LEE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG011247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.