Tonya (Nikki) Croak, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.008011 Issued in OH

Practice address

387 County Line Rd W Ste 225
Westerville, OH 43082-6918

Phone

(614) 882-4411

Fax

(614) 882-4475

NPI assigned

Jul 31, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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 RX LLC

  • Massage Therapist
  • Westerville, OH
  • NPI 1407679905
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1124857859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 HICKORY LN",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813082",
            "telephone_number": "614-218-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 COUNTY LINE RD W STE 225",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826918",
            "telephone_number": "614-882-4411",
            "fax_number": "614-882-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROAK",
        "first_name": "TONYA (NIKKI)",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "OH",
            "license": "321710",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.008011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creeksedge Counseling & Wellness, LLC
• Victoria Cremer, CCC-SLP
• Alan M Cribb
• Clara Samantha Crick, CD
• Charlene M Crisp, M.D.
• Carole Crockett-Harris, LISW
• Sevahna Crofford
• Emma Cromwell, RBT
• Troy Cross, DC
• Crossfit Polaris Physical Therapy

• Massage Therapist in Westerville, OH
• Providers in Westerville, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.