Individual provider Active NPI

Jonathan Perez, LMT

  • Massage Therapist
  • Fairview Park, OH
National Provider Identifier
1164240651
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.026002 Issued in OH
Practice address
21245 Lorain Rd Ste 208
Fairview Park, OH 44126-2140
Phone
(216) 309-2605
NPI assigned
Oct 2, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 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 33.026002 OH Primary

Addresses

Primary practice location

21245 Lorain Rd Ste 208
Fairview Park, OH 44126-2140

Mailing address

21255 Detroit Rd Apt F227
Rocky River, OH 44116-2291
Phone (216) 309-9253

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
33.026002OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Massage & Wellness CurrentSince Oct 20, 2024 Accepting new patients

Locations

21245 Lorain Rd
Ste 208
Fairview Park, OH 44126
Phone (216) 309-2605

Organizations & group practices 1

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": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1164240651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21255 DETROIT RD APT F227",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162291",
            "telephone_number": "216-309-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21245 LORAIN RD STE 208",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262140",
            "telephone_number": "216-309-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JONATHAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.026002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.