Active NPI
Jennifer Ellen Abbott
- Massage Therapist
- Lebanon, OH
National Provider Identifier
1174850143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1248 Columbus Ave
Lebanon, OH 45036-8363 - Phone
- (513) 932-2273
- Fax
- (513) 932-1644
- NPI assigned
- Nov 11, 2009
- Last updated
- Nov 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | NU | Primary |
Addresses
Primary practice location
1248 Columbus Ave
Lebanon, OH 45036-8363
Mailing address
1110 E Main St Apt 403
Lebanon, OH 45036-6446
Phone (513) 933-0497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33 016551 A-B | Other | OH | STATE MEDICAL BOARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1174850143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 E MAIN ST APT 403",
"city": "LEBANON",
"state": "OH",
"postal_code": "450366446",
"telephone_number": "513-933-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1248 COLUMBUS AVE",
"city": "LEBANON",
"state": "OH",
"postal_code": "450368363",
"telephone_number": "513-932-2273",
"fax_number": "513-932-1644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "JENNIFER",
"middle_name": "ELLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-11",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL BOARD",
"identifier": "33 016551 A-B",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.