Individual provider Active NPI

Diane Mastnardo, LMT

  • Massage Therapist
  • Westlake, OH
National Provider Identifier
1568708352
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.008776 Issued in OH
Practice address
24551 Detroit Rd Ste 4
Westlake, OH 44145-2592
Phone
(440) 772-5028
NPI assigned
Dec 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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 33.008776 OH Primary

Addresses

Primary practice location

24551 Detroit Rd Ste 4
Westlake, OH 44145-2592

Mailing address

32569 Spinnaker Dr
Avon Lake, OH 44012-2107
Phone (216) 789-8210

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
33.008776OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mastnardo Massage Therapies Massage Therapist CurrentSince Apr 20, 2025 Accepting new patients

Locations

24551 Detroit Rd
Ste 4
Westlake, OH 44145
Phone (440) 772-5028

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1568708352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32569 SPINNAKER DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122107",
            "telephone_number": "216-789-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24551 DETROIT RD STE 4",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452592",
            "telephone_number": "440-772-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTNARDO",
        "first_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-24",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.008776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.