Active NPI
Melvin Orlando Hollis, LMT
- Massage Therapist
- Cincinnati, OH
National Provider Identifier
1497950539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14893
- Practice address
- 9122 Montgomery Rd Ste 11
Cincinnati, OH 45242-7746 - Phone
- (513) 405-1885
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 14893 | OH | Primary |
Addresses
Primary practice location
9122 Montgomery Rd Ste 11
Cincinnati, OH 45242-7746
Mailing address
1161 Cheyenne Dr
Cincinnati, OH 45216-2205
Phone (513) 242-5774
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 |
|---|---|---|---|
| 14893 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1497950539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 CHEYENNE DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452162205",
"telephone_number": "513-242-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9122 MONTGOMERY RD STE 11",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452427746",
"telephone_number": "513-405-1885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIS",
"first_name": "MELVIN",
"middle_name": "ORLANDO",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "14893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.