Active NPI
Charmayne Nikol Baker
- Massage Therapist
- Millersport, OH
National Provider Identifier
1053296350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.025561
- Practice address
- 10400 Lancaster Newark Rd NE
Millersport, OH 43046-8003 - Phone
- (740) 467-2486
- Fax
- (740) 467-2498
- NPI assigned
- Aug 7, 2025
- Last updated
- Aug 7, 2025
- Sex
- Female
- 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 | 33.025561 | OH | Primary |
Addresses
Primary practice location
10400 Lancaster Newark Rd NE
Millersport, OH 43046-8003
Mailing address
10400 Lancaster Newark Rd NE
Millersport, OH 43046-8003
Phone (740) 467-2486
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 |
|---|---|---|---|
| 33.025561 | OH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keller Family Chiropractic, LLC | Single Specialty | Current | Accepting new patients |
Locations
10400 Lancaster Newark Rd NE
Millersport, OH 43046
Phone (740) 467-2486
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1053296350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10400 LANCASTER NEWARK RD NE",
"city": "MILLERSPORT",
"state": "OH",
"postal_code": "430468003",
"telephone_number": "740-467-2486",
"fax_number": "740-467-2498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 LANCASTER NEWARK RD NE",
"city": "MILLERSPORT",
"state": "OH",
"postal_code": "430468003",
"telephone_number": "740-467-2486",
"fax_number": "740-467-2498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "CHARMAYNE",
"middle_name": "NIKOL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-07",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.025561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millersport, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.