John R Diona, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAS-5105 Issued in ID

Practice address

30410 Id-200 Suite 100
Ponderay, ID 83852-9296

Phone

(715) 790-0823

NPI assigned

Feb 22, 2021

Last updated

Sep 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Sanctuary of Integrative Wellbeing

  • Clinic/Center
  • Ponderay, ID
  • NPI 1912896259
  NPD Authorized official

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1447844311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SKY MEADOW RD",
            "city": "SAGLE",
            "state": "ID",
            "postal_code": "838609296",
            "telephone_number": "715-790-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30410 ID-200 SUITE 100",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838529296",
            "telephone_number": "715-790-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONA",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-22",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-5105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk D Davidson, DMD
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• Massage Therapist in Ponderay, ID
• Providers in Ponderay, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.