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Deactivated NPI 1437488897 Deactivated / Inactive NPI Female Practitioner

Amy Lynn Van Antwerp , LMT

Massage Therapist • Broken Arrow, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Amy Van Antwerp has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 15, 2009
NPI Deactivation Date August 02, 2023
Total Practice Duration ~14 Years of Practice (2009 – 2023)

Professional Overview & Biography Verified Profile Summary

Amy Van Antwerp, LMT was a registered Massage Therapist practicing in Broken Arrow, OK. Throughout an active medical career spanning 14 years, Amy Van Antwerp provided care at the practice location at 2433 N ASPEN AVE until profile deactivation on 2023-08-02.

Practice Location & Contact Primary Location

Practice Address

2433 N Aspen Ave

Broken Arrow, OK 740121142

Telephone 9182593000
Associated Practice Facility / Clinic
🏢 Mede, Llc Facility NPI 1316131139

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Broken Arrow, OK (256 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 14037

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1043259393

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 02, 2023

Record deactivated on August 02, 2023

NPI Profile Active August 23, 2013

NPI status registered as active in NPPES database

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Updated Practice Location August 23, 2013

Registered at 2433 N ASPEN AVE, BROKEN ARROW, OK 740121142 (Tel: 9182593000)

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Updated Business Mailing Address August 23, 2013

Registered at 2433 N ASPEN AVE, BROKEN ARROW, OK 740121142 (Tel: 9182593000)

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Provider Name / Credentials Updated August 23, 2013

Recorded as AMY VAN ANTWERP, LMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2013

Massage Therapist (License #14037 in OR)

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Initial NPI Registration & Enumeration December 15, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437488897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2009
Last Update: August 23, 2013
Deactivation Date: August 02, 2023

Mailing Address

2433 N Aspen Ave

Broken Arrow, OK 740121142

Phone: 9182593000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.