Individual provider Active NPI

Amanda Sabria Nickelberry

  • Massage Therapist
  • Albuquerque, NM
National Provider Identifier
1962353607
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-2026-0022 Issued in NM
Practice address
4611 Greene St NW Ste 304
Albuquerque, NM 87114-4284
Phone
(505) 890-8678
NPI assigned
Feb 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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 MT-2026-0022 NM Primary

Addresses

Primary practice location

4611 Greene St NW Ste 304
Albuquerque, NM 87114-4284

Mailing address

2724 W Division St Apt 3F
Chicago, IL 60622-2825
Phone (773) 531-3285

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
MT-2026-0022NMMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1962353607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 W DIVISION ST APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222825",
            "telephone_number": "773-531-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 GREENE ST NW STE 304",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144284",
            "telephone_number": "505-890-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELBERRY",
        "first_name": "AMANDA",
        "middle_name": "SABRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "MT-2026-0022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.