Individual provider Active NPI

Fabian Soto, LMT

  • Massage Therapist
  • Columbus, OH
National Provider Identifier
1043864499
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33024253 Issued in OH
Practice address
4488 W Broad St Ste 100
Columbus, OH 43228-5610
Phone
(614) 237-6373
Fax
(614) 853-2444
NPI assigned
Jul 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 33024253 OH Primary

Addresses

Primary practice location

4488 W Broad St Ste 100
Columbus, OH 43228-5610

Mailing address

2691 E Main St Ste 204
Bexley, OH 43209-2535
Phone (614) 237-6373

Other practice location 1

2691 E Main St Ste 204
Bexley, OH 43209-2535
Phone (614) 237-6373

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Booker Direct

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
33024253OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massage Lofts LLC Massage Therapist CurrentSince Apr 25, 2021 Accepting new patients
Touch Therapy, LLC PastSince Jul 28, 2019 Accepting new patients

Locations

2691 E Main St
Ste 204
Columbus, OH 43209
Phone (614) 237-6373

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1043864499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 E MAIN ST STE 204",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092535",
            "telephone_number": "614-237-6373",
            "fax_number": "614-853-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 W BROAD ST STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432285610",
            "telephone_number": "614-237-6373",
            "fax_number": "614-853-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2691 E Main St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Bexley",
            "state": "OH",
            "postal_code": "432092535",
            "country_code": "US",
            "telephone_number": "614-237-6373",
            "fax_number": "614-853-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO",
        "first_name": "FABIAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33024253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Booker",
            "affiliation": "N",
            "endpointDescription": "Booking software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Soap notes, rx",
            "address_1": "4488 W Broad St Ste 100",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432285610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.