Individual provider Active NPI

Krista Terese Fleming, LMT

  • Massage Therapist
  • Warrensville Heights, OH
National Provider Identifier
1194091264
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.015221 E-G Issued in OH
Practice address
25901 Emery Rd Ste 103
Warrensville Heights, OH 44128-6213
Phone
(216) 364-0152
Fax
(216) 364-0157
NPI assigned
Mar 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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 33.015221 E-G OH Primary

Addresses

Primary practice location

25901 Emery Rd Ste 103
Warrensville Heights, OH 44128-6213

Mailing address

3922 Bader Ave
Cleveland, OH 44109-5228
Phone (216) 509-4398

Other practice location 1

2401 Scranton Rd
Cleveland, OH 44113-4313
Phone (216) 284-3077

Other identifiers 1

IdentifierTypeStateIssuer
10672910001OtherOHBWC

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
33.015221 E-GOHMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1194091264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 BADER AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441095228",
            "telephone_number": "216-509-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25901 EMERY RD STE 103",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441286213",
            "telephone_number": "216-364-0152",
            "fax_number": "216-364-0157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Scranton Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441134313",
            "country_code": "US",
            "telephone_number": "216-284-3077",
            "fax_number": "216-331-6834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "KRISTA",
        "middle_name": "TERESE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.015221 E-G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "10672910001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.