Individual provider Active NPI

Kamille Rotan, LMT

  • Massage Therapist
  • Pickerington, OH
National Provider Identifier
1134969405
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.025290 Issued in OH
Practice address
180 Postage Cir Ste 100
Pickerington, OH 43147-7002
Phone
(614) 604-6358
NPI assigned
May 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 33.025290 OH Primary

Addresses

Primary practice location

180 Postage Cir Ste 100
Pickerington, OH 43147-7002

Mailing address

180 Postage Cir Ste 100
Pickerington, OH 43147-7002
Phone (614) 604-6358

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

LicenseStateTypeSpecialty
33.025290OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Ache Escape Massage Center, LLC Massage Therapist CurrentSince Jun 9, 2024 Accepting new patients
Body Ache Escape Massage Center CurrentSince Jun 9, 2024 Accepting new patients

Locations

180 Postage Cir
#100
Pickerington, OH 43147
Phone (614) 604-6358

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1134969405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 POSTAGE CIR STE 100",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477002",
            "telephone_number": "614-604-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 POSTAGE CIR STE 100",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477002",
            "telephone_number": "614-604-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTAN",
        "first_name": "KAMILLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.025290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.