Active NPI
Pamela Koenig, L.M.T.
- Massage Therapist
- Hamilton, OH
National Provider Identifier
1063967941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.022705
- Practice address
- 6531 Winford Ave
Hamilton, OH 45011-0548 - Phone
- (513) 863-2273
- NPI assigned
- Aug 19, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 33.022705 | OH | Primary |
Addresses
Primary practice location
6531 Winford Ave
Hamilton, OH 45011-0548
Mailing address
5724 Babygold CT
Cincinnati, OH 45247-3478
Phone (513) 484-5013
Other names 1
- Pamela Lee
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 |
|---|---|---|---|
| 33.022705 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1063967941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5724 BABYGOLD CT",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452473478",
"telephone_number": "513-484-5013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6531 WINFORD AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450110548",
"telephone_number": "513-863-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIG",
"first_name": "PAMELA",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-19",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.022705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.