Active NPI
Bobby Lee Tucker II, LMT
- Massage Therapist
- New Albany, OH
National Provider Identifier
1457738783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.013657-T-Z
- Practice address
- 150 W Main St
Suite B
New Albany, OH 43054-9229 - Phone
- (614) 685-4348
- NPI assigned
- May 6, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 33.013657-T-Z | OH | Primary |
Addresses
Primary practice location
150 W Main St
Suite B
New Albany, OH 43054-9229
Mailing address
150 West Main Street
Suite B
New Albany, OH 43054
Phone (614) 332-0262
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 |
|---|---|---|---|
| 33.013657-T-Z | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1457738783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 WEST MAIN STREET",
"address_2": "SUITE B",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "43054",
"telephone_number": "614-332-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W MAIN ST",
"address_2": "SUITE B",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430549229",
"telephone_number": "614-685-4348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "BOBBY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-06",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.013657-T-Z",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.