Individual provider Active NPI

Destiny Back, LMT

  • Massage Therapist
  • Mason, OH
National Provider Identifier
1497223440
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33-022893 Issued in OH
Practice address
1066 Reading Rd
Mason, OH 45040-1399
Phone
(513) 252-5533
NPI assigned
Nov 7, 2018
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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 33-022893 OH Primary

Addresses

Primary practice location

1066 Reading Rd
Mason, OH 45040-1399

Mailing address

3229 Tytus Ave
Middletown, OH 45042-2631
Phone (937) 336-0805

Other practice location 1

11250 Cornell Park Dr
Blue Ash, OH 45242-1827
Phone (513) 252-5533

Other practice location 2

10999 Reed Hartman Hwy Ste 234
Blue Ash, OH 45242-8311
Phone (899) 844-8669

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
33-022893OHMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1497223440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 TYTUS AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450422631",
            "telephone_number": "937-336-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401399",
            "telephone_number": "513-252-5533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11250 Cornell Park Dr",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452421827",
            "country_code": "US",
            "telephone_number": "513-252-5533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10999 Reed Hartman Hwy Ste 234",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452428311",
            "country_code": "US",
            "telephone_number": "899-844-8669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACK",
        "first_name": "DESTINY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33-022893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 15, 2026; 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.