Active NPI
Pam Kish, LMT
- Massage Therapist
- Westerville, OH
National Provider Identifier
1518510338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.019943
- Practice address
- 670 Meridian Way Ste 242
Westerville, OH 43082-7625 - Phone
- (614) 353-9557
- NPI assigned
- Jul 21, 2019
- Last updated
- Oct 12, 2019
- Sex
- Female
- 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 | 33.019943 | OH | Primary |
Addresses
Primary practice location
670 Meridian Way Ste 242
Westerville, OH 43082-7625
Mailing address
401 Clifden CT
Sunbury, OH 43074-8570
Phone (614) 353-9557
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 |
|---|---|---|---|
| 33.019943 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570838400000",
"number": "1518510338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CLIFDEN CT",
"city": "SUNBURY",
"state": "OH",
"postal_code": "430748570",
"telephone_number": "614-353-9557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 MERIDIAN WAY STE 242",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827625",
"telephone_number": "614-353-9557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISH",
"first_name": "PAM",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-21",
"last_updated": "2019-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.019943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.