Individual provider Active NPI

Katrina Elayne Roberts, LMT

  • Massage Therapist
  • Milford, OH
National Provider Identifier
1538999552
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.026957 Issued in OH
Practice address
5870 Cook Rd Unit B
Milford, OH 45150-1583
Phone
(513) 576-6699
Fax
(513) 576-6452
NPI assigned
Aug 5, 2024
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 33.026957 OH Primary

Addresses

Primary practice location

5870 Cook Rd Unit B
Milford, OH 45150-1583

Mailing address

1081B State Route 28 Ste 201
Milford, OH 45150-2001
Phone (513) 576-6699

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
33.026957OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Chiropractic Inc CurrentSince Aug 11, 2024 Accepting new patients

Locations

1081 State Route 28
Ste 201
Milford, OH 45150

5870 Cook Rd
Unit B
Milford, OH 45150
Phone (513) 248-1040

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1538999552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081B STATE ROUTE 28 STE 201",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502001",
            "telephone_number": "513-576-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 COOK RD UNIT B",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501583",
            "telephone_number": "513-576-6699",
            "fax_number": "513-576-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KATRINA",
        "middle_name": "ELAYNE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.026957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.