Organization Active NPI

Ida Osborne

Doing business as Athens Medical Massage

  • Massage Therapist
  • Athens, OH
National Provider Identifier
1588672158
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
4782 Issued in OH
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

Updated by the provider on Jun 11, 2008

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)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.