Individual provider Active NPI

Donnika Gardner

  • Massage Therapist
  • Cleveland, OH
National Provider Identifier
1366120800
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.025278 Issued in OH
Practice address
4700 Richmond Rd Ste 100
Cleveland, OH 44128-5985
Phone
(216) 378-9390
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 33.025278 OH Primary

Addresses

Primary practice location

4700 Richmond Rd Ste 100
Cleveland, OH 44128-5985

Mailing address

4700 Richmond Rd Ste 100
Cleveland, OH 44128-5985
Phone (216) 378-9390

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

LicenseStateTypeSpecialty
33.025278OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics and Physical Therapy, Inc. CurrentSince Jul 9, 2023 Accepting new patients

Locations

4700 Richmond Rd
Ste 100
Warrensville Heights, OH 44128
Phone (216) 378-9390

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1366120800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 RICHMOND RD STE 100",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285985",
            "telephone_number": "216-378-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 RICHMOND RD STE 100",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285985",
            "telephone_number": "216-378-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DONNIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.025278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.