Active NPI
Michael Anthony Loukas, CERTIFIED ROLFER, RE
- Mechanotherapist
- Columbus, OH
National Provider Identifier
1063726883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- Practice address
- 5115 Olentamgy River Rd.
Columbus, OH 43235 - Phone
- (614) 204-2184
- NPI assigned
- Aug 4, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | CO | Primary | |
| Mechanotherapist | 172M00000X | OH |
Addresses
Primary practice location
5115 Olentamgy River Rd.
Columbus, OH 43235
Mailing address
288 Crestview Rd.
Columbus, OH 43220
Phone (614) 263-3739
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1063726883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 CRESTVIEW RD.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43220",
"telephone_number": "614-263-3739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 OLENTAMGY RIVER RD.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43235",
"telephone_number": "614-204-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUKAS",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "CERTIFIED ROLFER, RE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-04",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "CO",
"license": null,
"primary": true
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.