Active NPI
Jason Monroe Roskelly, L.M.T.
- Massage Therapist
- Middlefield, OH
National Provider Identifier
1023286069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.014118
- Practice address
- 14895 N State Ave
Middlefield, OH 44062-9747 - Phone
- (440) 632-5814
- NPI assigned
- Feb 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 33.014118 | OH | Primary |
Addresses
Primary practice location
14895 N State Ave
Middlefield, OH 44062-9747
Mailing address
PO Box 795
Middlefield, OH 44062-0795
Phone (440) 632-5814
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 |
|---|---|---|---|
| 33.014118 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1023286069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 795",
"city": "MIDDLEFIELD",
"state": "OH",
"postal_code": "440620795",
"telephone_number": "440-632-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14895 N STATE AVE",
"city": "MIDDLEFIELD",
"state": "OH",
"postal_code": "440629747",
"telephone_number": "440-632-5814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSKELLY",
"first_name": "JASON",
"middle_name": "MONROE",
"name_prefix": "Mr.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-12",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.014118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middlefield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.