Individual provider Active NPI

Resha L McClendon, CMA, LMT

  • Massage Therapist
  • Westerville, OH
National Provider Identifier
1225639917
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.015332 Issued in OH
Practice address
132 Dorchester SQ S Ste 201
Westerville, OH 43081-7400
Phone
(614) 638-1515
NPI assigned
Nov 8, 2020
Last updated
Nov 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 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 33.015332 OH Primary

Addresses

Primary practice location

132 Dorchester SQ S Ste 201
Westerville, OH 43081-7400

Mailing address

132 Dorchester SQ S Ste 201
Westerville, OH 43081-7400
Phone (614) 638-1515

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
Certified Medical Assistant

State licenses

LicenseStateTypeSpecialty
33.015332OHMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1225639917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 DORCHESTER SQ S STE 201",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430817400",
            "telephone_number": "614-638-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 DORCHESTER SQ S STE 201",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430817400",
            "telephone_number": "614-638-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "RESHA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CMA, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.015332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.