Organization Active NPI

Freedom Therapy Clinic LLC

  • Massage Therapist
  • Kettering, OH
National Provider Identifier
1609477546
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Jennifer CullNPI 1942667308
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.