Individual provider Active NPI

Renee Vanessa Anderson, LMT,CRC,LDT

  • Massage Therapist
  • West Chester, OH
National Provider Identifier
1164731972
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.015126 Issued in OH
Practice address
7969 Cincinnati Dayton Rd Ste B
West Chester, OH 45069
Phone
(513) 225-7130
NPI assigned
Sep 28, 2010
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU
Massage Therapist 225700000X 33.015126 OH Primary

Addresses

Primary practice location

7969 Cincinnati Dayton Rd Ste B
West Chester, OH 45069

Mailing address

7969 Cincinnati Dayton Rd Ste B
West Chester, OH 45069-6637
Phone (513) 225-7130

Other practice location 1

7645 Wetherington Dr
West Chester, OH 45069
Phone (513) 225-7130

Other practice location 2

7645 Wetherington Dr
West Chester, OH 45069
Phone (513) 225-7130

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
33.015126OHMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1164731972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7969 CINCINNATI DAYTON RD STE B",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696637",
            "telephone_number": "513-225-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7969 CINCINNATI DAYTON RD STE B",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "513-225-7130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7645 Wetherington Dr",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "45069",
            "country_code": "US",
            "telephone_number": "513-225-7130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7645 Wetherington Dr",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "45069",
            "country_code": "US",
            "telephone_number": "513-225-7130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RENEE",
        "middle_name": "VANESSA",
        "name_prefix": "Ms.",
        "credential": "LMT,CRC,LDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.015126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.