Active NPI
Brian J Moyer, LMT
- Massage Therapist
- Columbus, OH
National Provider Identifier
1104045525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.016536-L-M
- Practice address
- 226 Montrose Way
Columbus, OH 43214-3637 - Phone
- (614) 562-9681
- NPI assigned
- Apr 24, 2007
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00020346 | WA | |
| Massage Therapist | 225700000X | 33.016536-L-M | OH | Primary |
Addresses
Primary practice location
226 Montrose Way
Columbus, OH 43214-3637
Mailing address
226 Montrose Way
Columbus, OH 43214-3637
Phone (614) 562-9681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0212585 | Other | WA | L&I PROVIDER |
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 |
|---|---|---|---|
| 33.016536-L-M | OH | MD | Massage Therapist |
| MA00020346 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255996800000",
"number": "1104045525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 MONTROSE WAY",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143637",
"telephone_number": "614-562-9681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 MONTROSE WAY",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143637",
"telephone_number": "614-562-9681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "BRIAN",
"middle_name": "J",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2009-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00020346",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.016536-L-M",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER",
"identifier": "0212585",
"state": "WA"
}
],
"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 Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.