Individual provider Active NPI

Michael A Kobus, LMT

  • Massage Therapist
  • Dayton, OH
National Provider Identifier
1396336418
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
4130 Linden Ave Ste 115
Dayton, OH 45432-3064
Phone
(937) 516-8745
NPI assigned
Feb 1, 2021
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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 NU Primary

Addresses

Primary practice location

4130 Linden Ave Ste 115
Dayton, OH 45432-3064

Mailing address

4130 Linden Ave Ste 115
Dayton, OH 45432-3064
Phone (937) 516-8745

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

Practice roles

OrganizationSpecialtyStatusNew patients
A Caring Solution Massage, LLC Massage Therapist CurrentSince Mar 7, 2021 Accepting new patients

Locations

4130 Linden Ave
Ste 115
Dayton, OH 45432
Phone (937) 516-8745

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1396336418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 LINDEN AVE STE 115",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323064",
            "telephone_number": "937-516-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 LINDEN AVE STE 115",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323064",
            "telephone_number": "937-516-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBUS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.