Active NPI
Irina N Boubeleva, LMT, MS
- Massage Therapist
- Columbus, OH
National Provider Identifier
1346439205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.013746
- Practice address
- 815 N High St
Studio M
Columbus, OH 43215-1486 - Phone
- (614) 571-7190
- NPI assigned
- Oct 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 33.013746 | OH | Primary |
Addresses
Primary practice location
815 N High St
Studio M
Columbus, OH 43215-1486
Mailing address
2033 Belltree Dr
Reynoldsburg, OH 43068-3504
Phone (614) 571-7190
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33.013746 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1346439205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 BELLTREE DR",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430683504",
"telephone_number": "614-571-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 N HIGH ST",
"address_2": "STUDIO M",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151486",
"telephone_number": "614-571-7190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUBELEVA",
"first_name": "IRINA",
"middle_name": "N",
"credential": "LMT, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.013746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.