Lillian Bevard, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.024851 Issued in OH

Practice address

1 Shalimar Dr
Mount Vernon, OH 43050-1977

Phone

(740) 392-2004

Fax

(740) 879-2151

NPI assigned

Nov 20, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Healthy Center Massage Therapy & Acupuncture

  • Acupuncturist
  • Mount Vernon, OH
  • NPI 1891287348

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1568065613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHALIMAR DR",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501977",
            "telephone_number": "740-392-2004",
            "fax_number": "740-879-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHALIMAR DR",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501977",
            "telephone_number": "740-392-2004",
            "fax_number": "740-879-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVARD",
        "first_name": "LILLIAN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.024851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAL BOARD",
            "identifier": "33.024851",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Bennett
• Michael Bennett, CDCA
• Taryn D Benson, M.S., CCC-SLP
• Olivia Beougher, PTA
• Roxanne Renee Berry, CASE MGR
• Vanessa Biegler
• Bio-Medical Applications of Ohio, Inc.
• Danielle M Bishop
• Doris Danelle Black, LSW
• Matthew David Black, LPC, CDCA

• Massage Therapist in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.