Marcie Matlock, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

33.020950 Issued in OH

Practice address

4530 Arendell PL
Columbus, OH 43231-8711

Phone

(614) 300-7917

NPI assigned

Apr 14, 2014

Last updated

Apr 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fluidity Movement and Wellness

  • Massage Therapist
  • Columbus, OH
  • NPI 1346657483
  NPD (past) Authorized official

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1336568740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 ARENDELL PL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432318711",
            "telephone_number": "614-300-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 ARENDELL PL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432318711",
            "telephone_number": "614-300-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "MARCIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "33.020950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Mathurin
• Bizhan Matin, PHARMD, RPH
• Velimir Matkovic, MD, PHD
• Denzell M Matlock Sr.
• Latisha Matlock
• Randy Lee Matlock
• Shawna Marie Matney, NP
• Janine Matos Chevere, DDS
• Dana Marie Matos I, LPN
• Matrix Home Care LLC

• Specialist in Columbus, OH
• Providers in Columbus, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.