Active NPI
Freedom Therapy Clinic LLC
- Massage Therapist
- Kettering, OH
National Provider Identifier
1609477546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- FREEDOM THERAPY CLINIC LLC
- Practice address
- 4080 Marshall Rd Ste 101
Kettering, OH 45429-5157 - Phone
- (937) 241-5173
- NPI assigned
- Nov 6, 2020
- Last updated
- Nov 6, 2020
- 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
- Jennifer Cull
- Title
- Owner
- Phone
- (937) 241-5173
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
4080 Marshall Rd Ste 101
Kettering, OH 45429-5157
Mailing address
4080 Marshall Rd Ste 101
Kettering, OH 45429-5157
Phone (937) 241-5173
National Provider Directory
National Provider DirectoryLocations
4080 Marshall Rd
Ste 101
Kettering, OH 45429
Phone (937) 241-5173
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Massage Therapist
- Kettering, OH
- NPI 1942667308
-
- Massage Therapist
- Kettering, OH
- NPI 1205588183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604620800000",
"number": "1609477546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4080 MARSHALL RD STE 101",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295157",
"telephone_number": "937-241-5173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 MARSHALL RD STE 101",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295157",
"telephone_number": "937-241-5173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM THERAPY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A",
"authorized_official_last_name": "CULL",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-241-5173"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.