Active NPI
Jeffery Allen Swanigan, L.M.T.
- Massage Therapist
- Atwater, OH
National Provider Identifier
1336441245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.019139S
- Practice address
- 1485 St. RT. 44
Suite D
Atwater, OH 44201-9267 - Phone
- (330) 325-7390
- NPI assigned
- Nov 29, 2010
- 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 | 33.019139S | OH | Primary |
Addresses
Primary practice location
1485 St. RT. 44
Suite D
Atwater, OH 44201-9267
Mailing address
1485 St. RT. 44
Suite 'D'
Randolph, OH 44265
Phone (330) 325-7390
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 |
|---|---|---|---|
| 33.019139S | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290988800000",
"number": "1336441245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 ST. RT. 44",
"address_2": "SUITE 'D'",
"city": "RANDOLPH",
"state": "OH",
"postal_code": "44265",
"telephone_number": "330-325-7390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 ST. RT. 44",
"address_2": "SUITE D",
"city": "ATWATER",
"state": "OH",
"postal_code": "442019267",
"telephone_number": "330-325-7390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANIGAN",
"first_name": "JEFFERY",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-29",
"last_updated": "2010-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.019139S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atwater, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.