Individual provider Active NPI

Andrea Boshart, LMT

  • Massage Therapist
  • Rome, NY
National Provider Identifier
1891283784
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
027732-1 Issued in NY
Practice address
804 N George St Apt 4
Rome, NY 13440-3459
Phone
(315) 368-4229
Fax
(315) 368-4229
NPI assigned
Apr 25, 2018
Last updated
Apr 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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 027732-1 NY Primary

Addresses

Primary practice location

804 N George St Apt 4
Rome, NY 13440-3459

Mailing address

804 N George St Apt 4
Rome, NY 13440-3459
Phone (315) 368-4229

Other names 1

  • Ms. Andrea Boshart Professional name

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
027732-1NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1891283784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N GEORGE ST APT 4",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134403459",
            "telephone_number": "315-368-4229",
            "fax_number": "315-368-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N GEORGE ST APT 4",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134403459",
            "telephone_number": "315-368-4229",
            "fax_number": "315-368-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHART",
        "first_name": "ANDREA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "027732-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BOSHART",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.