Mashavu Edmondson, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.017095 Issued in OH

Practice address

1358A Cherry Bottom Rd
Gahanna, OH 43230-6771

Phone

(614) 471-2225

Fax

(614) 471-4260

NPI assigned

Apr 13, 2016

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

Credentials

Medical Technician

State licenses

Practice roles

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.

• Buckeye Physical Medicine and Rehab - Gahanna

  • General Practice Physician
  • Gahanna, OH
  • NPI 1578900783
  NPD (past)
• Gahanna Family Chiropractic, LLC

  • Chiropractor
  • Gahanna, OH
  • NPI 1245311455
  NPD (past)

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1497119630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3683 GARDEN CT",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232906",
            "telephone_number": "614-801-1307",
            "fax_number": "614-801-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358A CHERRY BOTTOM RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306771",
            "telephone_number": "614-471-2225",
            "fax_number": "614-471-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "MASHAVU",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.017095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Echo Hospice of Ohio, LLC
• Melissa L. Edelmayer, MSW, LISW-S, LICDC
• Barbara Edison, LPN
• Edmiston Counseling LLC
• Mary Anne Edmiston, MSW, LISW
• Jessica Lyn Edwards, PT, DPT
• Charity Eichar
• Alexandra Elder, MD
• Adara Eley
• Elite Home Health Care Services, LLC

• Massage Therapist in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.