Individual provider Active NPI

Christy M Peabody

  • Clinical Exercise Physiologist
  • Parma, OH
National Provider Identifier
1245922566
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
Practice address
6900 Ridge Rd Ste 100202
Parma, OH 44129-5650
Phone
(440) 882-6382
Fax
(440) 882-6391
NPI assigned
May 24, 2023
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 33.010112 OH
Clinical Exercise Physiologist 224Y00000X NU Primary

Addresses

Primary practice location

6900 Ridge Rd Ste 100202
Parma, OH 44129-5650

Mailing address

6900 Ridge Rd Ste 100202
Parma, OH 44129-5650
Phone (440) 882-6382

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
33.010112OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Group Current Accepting new patients

Locations

6900 Ridge Rd
Ste 100202
Parma, OH 44129
Phone (440) 882-6382

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": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1245922566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 RIDGE RD STE 100202",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295650",
            "telephone_number": "440-882-6382",
            "fax_number": "440-882-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 RIDGE RD STE 100202",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295650",
            "telephone_number": "440-882-6382",
            "fax_number": "440-882-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEABODY",
        "first_name": "CHRISTY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.010112",
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.