Active NPI
Janelle Mattson, MT
- Massage Therapist
- Bellevue, OH
National Provider Identifier
1174746929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33-012065
- Practice address
- 855 West Main Street
Suite E
Bellevue, OH 44811 - Phone
- (419) 483-3793
- Fax
- (419) 334-6685
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 33-012065 | OH | Primary |
Addresses
Primary practice location
855 West Main Street
Suite E
Bellevue, OH 44811
Mailing address
26700 Brookpark Road Extension
Suite 1
North Olmsted, OH 44070
Phone (440) 716-1283
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33-012065 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174746929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26700 BROOKPARK ROAD EXTENSION",
"address_2": "SUITE 1",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "44070",
"telephone_number": "440-716-1283",
"fax_number": "440-716-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 WEST MAIN STREET",
"address_2": "SUITE E",
"city": "BELLEVUE",
"state": "OH",
"postal_code": "44811",
"telephone_number": "419-483-3793",
"fax_number": "419-334-6685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTSON",
"first_name": "JANELLE",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33-012065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.