Individual provider Active NPI

Samantha June Pattantyus, LMT

  • Massage Therapist
  • Athens, OH
National Provider Identifier
1194342964
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.024547 Issued in OH
Practice address
8 N Court St Ste 313
Athens, OH 45701-2450
Phone
(740) 237-3550
NPI assigned
Jun 28, 2020
Last updated
Jun 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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 33.024547 OH Primary

Addresses

Primary practice location

8 N Court St Ste 313
Athens, OH 45701-2450

Mailing address

24 Columbia Ave
Athens, OH 45701-1617
Phone (216) 308-2678

Other practice location 1

5550 Ennis Rd
Albany, OH 45710-9259
Phone (740) 698-3181

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
33.024547OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Walter T. Baumgartel Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1194342964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COLUMBIA AVE",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011617",
            "telephone_number": "216-308-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N COURT ST STE 313",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012450",
            "telephone_number": "740-237-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 Ennis Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OH",
            "postal_code": "457109259",
            "country_code": "US",
            "telephone_number": "740-698-3181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTANTYUS",
        "first_name": "SAMANTHA",
        "middle_name": "JUNE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.024547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; 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.