Active NPI
Ida Osborne
Doing business as Athens Medical Massage
- Massage Therapist
- Athens, OH
National Provider Identifier
1588672158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4782
- Legal business name
- IDA OSBORNE
- Doing business as
- Athens Medical Massage
- Practice address
- 542 W Union St
Suite 10
Athens, OH 45701-2331 - Phone
- (740) 594-8796
- Fax
- (740) 594-8796
- NPI assigned
- Aug 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ida Osborne, LMT
- Title
- Owner
- Phone
- (740) 594-8796
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4782 | OH | Primary |
Addresses
Primary practice location
542 W Union St
Suite 10
Athens, OH 45701-2331
Mailing address
542 W Union St
Suite 10
Athens, OH 45701-2331
Phone (740) 594-8796
Other names 1
- Athens Medical Massage
National Provider Directory
National Provider DirectoryLocations
542 W Union St
Ste 10
Athens, OH 45701
Phone (740) 594-8796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213142400000",
"number": "1588672158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 W UNION ST",
"address_2": "SUITE 10",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012331",
"telephone_number": "740-594-8796",
"fax_number": "740-594-8796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "542 W UNION ST",
"address_2": "SUITE 10",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012331",
"telephone_number": "740-594-8796",
"fax_number": "740-594-8796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDA OSBORNE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2008-06-11",
"status": "A",
"authorized_official_last_name": "OSBORNE",
"authorized_official_first_name": "IDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-594-8796",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "OH",
"license": "4782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Athens Medical Massage",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.