Blanca I Medina

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.024177 Issued in OH

Practice address

21245 Lorain Rd Ste 150
Fairview Park, OH 44126-2196

Phone

(216) 256-7640

NPI assigned

Dec 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1417724501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21585 CENTER RIDGE RD APT 116",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163912",
            "telephone_number": "216-256-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21245 LORAIN RD STE 150",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262196",
            "telephone_number": "216-256-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "BLANCA",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.024177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista McGuire, OTA
• Edward Thomas McLaughlin, DSP
• Lawrence McNamee, M.D.
• Catherine Meassick, MA, RD, ATC
• Med Consults, Inc.
• Medxm
• Judith Meinert
• Marcello M. Mellino, MD
• Matthew Joseph Messina, D.D.S.
• Jason Dean Milbert, PA-C

• Massage Therapist in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.