Active NPI
Gilford Wayne Roberts, L.M.T.
- Massage Therapist
- Lyndhurst, OH
National Provider Identifier
1376803841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33. 014110 N-R
- Practice address
- 1950 Richmond Rd
Wellness Institute
Lyndhurst, OH 44124 - Phone
- (216) 633-1149
- NPI assigned
- May 18, 2012
- Sex
- Male
- 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. 014110 N-R | OH | Primary |
Addresses
Primary practice location
1950 Richmond Rd
Wellness Institute
Lyndhurst, OH 44124
Mailing address
1109 Plainfield Rd
South Euclid, OH 44121-2535
Phone (216) 633-1149
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. 014110 N-R | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337299200000",
"number": "1376803841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 PLAINFIELD RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212535",
"telephone_number": "216-633-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 RICHMOND RD",
"address_2": "WELLNESS INSTITUTE",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "44124",
"telephone_number": "216-633-1149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "GILFORD",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-18",
"last_updated": "2012-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33. 014110 N-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyndhurst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.