Active NPI
Cindy Lou Derheimer, LMT
- Massage Therapist
- Carrollton, OH
National Provider Identifier
1295906626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 20092
- Practice address
- 559 Canton Rd NW
Carrollton, OH 44615-8426 - Phone
- (330) 627-7611
- Fax
- (330) 627-6773
- NPI assigned
- Mar 13, 2008
- Last updated
- Mar 13, 2008
- 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 | 20092 | OH | Primary |
Addresses
Primary practice location
559 Canton Rd NW
Carrollton, OH 44615-8426
Mailing address
559 Canton Rd NW
Carrollton, OH 44615-8426
Phone (330) 627-7611
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 |
|---|---|---|---|
| 20092 | OH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrollton Chiropractic Center Inc | 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.
-
- Chiropractor
- Carrollton, OH
- NPI 1033249727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1295906626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 CANTON RD NW",
"city": "CARROLLTON",
"state": "OH",
"postal_code": "446158426",
"telephone_number": "330-627-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 CANTON RD NW",
"city": "CARROLLTON",
"state": "OH",
"postal_code": "446158426",
"telephone_number": "330-627-7611",
"fax_number": "330-627-6773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERHEIMER",
"first_name": "CINDY",
"middle_name": "LOU",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-13",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "20092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, OH
- Gary William Crump, DDS
- CVV Hospice LLC
- Diana L. Dally, N.P.
- Carolynn Marissa Delong, MSPSY
- Annette Marie Demos, P.T.
- Discount Drug Mart Inc (Discount Drug Mart)
- Tracy Michelle Dixon, LMT
- Dowell Dental Third Street LLC (Dowell Dental Group)
- Stephen C. Dowell, DDS
- East Carroll Nursing Home Inc (Countryview Manor)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.