Individual provider Active NPI

Barbara Michelle Botts, LMT

  • Massage Therapist
  • Mason, OH
National Provider Identifier
1427108174
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
13921 Issued in OH
Practice address
3918 Irwin Simpson Road
Mason, OH 45040-9754
Phone
(513) 545-7134
Fax
(513) 398-2382
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 13921 OH Primary
Massage Therapist 225700000X 1167 KY

Addresses

Primary practice location

3918 Irwin Simpson Road
Mason, OH 45040-9754

Mailing address

3918 Irwin Simpson Road
Mason, OH 45040-9754
Phone (513) 545-7134

Other identifiers 1

IdentifierTypeStateIssuer
16175935000OtherOHWORKMANS COMP PROVIDER

Other names 1

  • B Michelle Jessop Other name

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

LicenseStateTypeSpecialty
1167KYMDMassage Therapist
13921OHMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427108174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 IRWIN SIMPSON ROAD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409754",
            "telephone_number": "513-545-7134",
            "fax_number": "513-398-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 IRWIN SIMPSON ROAD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409754",
            "telephone_number": "513-545-7134",
            "fax_number": "513-398-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTS",
        "first_name": "BARBARA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "13921",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "1167",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMANS COMP PROVIDER",
            "identifier": "16175935000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B",
            "last_name": "JESSOP",
            "middle_name": "MICHELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mason, 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.

Verify at the official NPI Registry.