Active NPI
Robin Lynn Tyson, LMT
- Massage Therapist
- Bowling Green, OH
National Provider Identifier
1538340435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8492
- Practice address
- 1215 Ridgewood Dr
Ste a
Bowling Green, OH 43402-2690 - Phone
- (419) 352-0142
- NPI assigned
- Nov 19, 2007
- Last updated
- Nov 19, 2007
- Sex
- Female
- 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 | 8492 | OH | Primary |
Addresses
Primary practice location
1215 Ridgewood Dr
Ste a
Bowling Green, OH 43402-2690
Mailing address
135 Edgewood Dr
Apt 2
Perrysburg, OH 43551-6613
Phone (419) 467-1155
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 |
|---|---|---|---|
| 8492 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1538340435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 EDGEWOOD DR",
"address_2": "APT 2",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435516613",
"telephone_number": "419-467-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 RIDGEWOOD DR",
"address_2": "STE A",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434022690",
"telephone_number": "419-352-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "ROBIN",
"middle_name": "LYNN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "8492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.