Individual provider Active NPI

Roy H Johnson III

  • Massage Therapist
  • Lexington, KY
National Provider Identifier
1457025140
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
106267 Issued in KY
Practice address
2375 Professional Heights Dr Ste 260
Lexington, KY 40503-3053
Phone
(859) 227-8546
NPI assigned
Aug 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 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 106267 KY Primary

Addresses

Primary practice location

2375 Professional Heights Dr Ste 260
Lexington, KY 40503-3053

Mailing address

3732 Temple Dr
Lexington, KY 40517-1537
Phone (571) 217-1353

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
106267KYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lion and Dragon Yoga Bodyworks, LLC Massage Therapist CurrentSince Aug 6, 2023 Accepting new patients

Locations

2375 Professional Heights Dr
Ste 260
Lexington, KY 40503
Phone (859) 227-8546

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1457025140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 TEMPLE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171537",
            "telephone_number": "571-217-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 PROFESSIONAL HEIGHTS DR STE 260",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033053",
            "telephone_number": "859-227-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROY",
        "middle_name": "H",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "106267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.