Active NPI
Robert Leslie Dorsey II, L.M.T.
- Massage Therapist
- Montgomery, OH
National Provider Identifier
1285042853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.011877 C-D
- Practice address
- 6200 Pfeiffer Rd
Trihealth Fitness & Health Pavilion
Montgomery, OH 45242-5862 - Phone
- (513) 985-6740
- NPI assigned
- Jul 28, 2014
- Sex
- Male
- 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 | 33.011877 C-D | OH | Primary |
Addresses
Primary practice location
6200 Pfeiffer Rd
Trihealth Fitness & Health Pavilion
Montgomery, OH 45242-5862
Mailing address
6113 Chandler St
Cincinnati, OH 45227-1913
Phone (513) 703-2233
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 |
|---|---|---|---|
| 33.011877 C-D | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1285042853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6113 CHANDLER ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452271913",
"telephone_number": "513-703-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 PFEIFFER RD",
"address_2": "TRIHEALTH FITNESS & HEALTH PAVILION",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452425862",
"telephone_number": "513-985-6740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "ROBERT",
"middle_name": "LESLIE",
"name_suffix": "II",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-28",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.011877 C-D",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.