Active NPI
Amy Mair, LMT
- Massage Therapist
- St George, UT
National Provider Identifier
1952074569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10961054-4701
- Practice address
- 4617 S Pioneer Rd Ste 103
St George, UT 84790-5156 - Phone
- (435) 767-9094
- NPI assigned
- Jul 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 10961054-4701 | UT | Primary |
Addresses
Primary practice location
4617 S Pioneer Rd Ste 103
St George, UT 84790-5156
Mailing address
PO Box 711185
Salt Lake City, UT 84171-1185
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 |
|---|---|---|---|
| 10961054-4701 | UT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Land Rehabilitation LLC | Current | Accepting new patients |
Locations
4617 S Pioneer Rd
Ste 103
St George, UT 84790
Phone (435) 767-9094
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.
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1265549372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1952074569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711185",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841711185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4617 S PIONEER RD STE 103",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847905156",
"telephone_number": "435-767-9094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIR",
"first_name": "AMY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-29",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "10961054-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.