Active NPI
Mary Lynne Pizzola, LMT, CNMT
- Massage Therapist
- Canton, OH
National Provider Identifier
1366566549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6367
- Practice address
- 4105 Fulton Dr NW
Canton, OH 44718-2819 - Phone
- (330) 492-6655
- Fax
- (330) 492-6655
- NPI assigned
- Mar 16, 2007
- 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 | 6367 | OH | Primary |
Addresses
Primary practice location
4105 Fulton Dr NW
Canton, OH 44718-2819
Mailing address
4105 Fulton Dr NW
Canton, OH 44718-2819
Phone (330) 492-6655
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 |
|---|---|---|---|
| 6367 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366566549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 FULTON DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182819",
"telephone_number": "330-492-6655",
"fax_number": "330-492-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 FULTON DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182819",
"telephone_number": "330-492-6655",
"fax_number": "330-492-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIZZOLA",
"first_name": "MARY",
"middle_name": "LYNNE",
"credential": "LMT, CNMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "6367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.