Active NPI
Fabian Soto, LMT
- Massage Therapist
- Columbus, OH
National Provider Identifier
1043864499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33024253
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 33024253 | OH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage Lofts LLC | Massage Therapist | Current | Accepting new patients |
| Touch Therapy, LLC | Past | 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.
-
- Massage Therapist
- Bexley, OH
- NPI 1114508546
-
- Mechanotherapist
- Bexley, OH
- NPI 1710351390
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.