Active NPI
Dawn D Patridge, LMT
- Massage Therapist
- Sylvania, OH
National Provider Identifier
1417393539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.016797
- Practice address
- 5800 Monroe St Ste E3
Sylvania, OH 43560-2206 - Phone
- (419) 410-8483
- NPI assigned
- May 15, 2013
- Last updated
- Apr 25, 2023
- 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 | 33.016797 | OH | Primary |
Addresses
Primary practice location
5800 Monroe St Ste E3
Sylvania, OH 43560-2206
Mailing address
5800 Monroe St Ste E3
Sylvania, OH 43560-2206
Phone (419) 410-8483
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 |
|---|---|---|---|
| 33.016797 | OH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Medical Services Inc | Past | Accepting new patients | |
| Huntington Chiropractic & Wellness LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1417393539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 MONROE ST STE E3",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602206",
"telephone_number": "419-410-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 MONROE ST STE E3",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602206",
"telephone_number": "419-410-8483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRIDGE",
"first_name": "DAWN",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-15",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.016797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.