Active NPI
Luz C Polanco
- Massage Therapist
- Fairfield, OH
National Provider Identifier
1215723739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33027326
- Practice address
- 9 Merlin Dr Apt a
Fairfield, OH 45014-4132 - Phone
- (347) 318-6408
- Fax
- (347) 318-6408
- NPI assigned
- Apr 21, 2025
- 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 | 33027326 | OH | Primary |
Addresses
Primary practice location
9 Merlin Dr Apt a
Fairfield, OH 45014-4132
Mailing address
9 Merlin Dr Apt a
Fairfield, OH 45014-4132
Phone (347) 318-6408
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33027326 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1215723739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MERLIN DR APT A",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450144132",
"telephone_number": "347-318-6408",
"fax_number": "347-318-6408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MERLIN DR APT A",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450144132",
"telephone_number": "347-318-6408",
"fax_number": "347-318-6408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLANCO",
"first_name": "LUZ",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-21",
"last_updated": "2025-04-21",
"certification_date": "2025-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33027326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.