Individual provider Active NPI

Anna Lynn Holliday, LMT

  • Massage Therapist
  • Columbus, OH
National Provider Identifier
1609513167
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.021499 Issued in OH
Practice address
4662 Larwell Dr
Columbus, OH 43220-3621
Phone
(614) 442-6754
Fax
(614) 442-6737
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 33.021499 OH Primary

Addresses

Primary practice location

4662 Larwell Dr
Columbus, OH 43220-3621

Mailing address

4662 Larwell Dr
Columbus, OH 43220-3621
Phone (161) 444-2675

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@tmc-ua.com Direct

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
33.021499OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
D&E Miller Enterprises, Inc. CurrentSince Aug 13, 2023 Accepting new patients

Locations

4662 Larwell Dr
Columbus, OH 43220
Phone (614) 442-6754

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": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1609513167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4662 LARWELL DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203621",
            "telephone_number": "161-444-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4662 LARWELL DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203621",
            "telephone_number": "614-442-6754",
            "fax_number": "614-442-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "ANNA",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.021499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@tmc-ua.com",
            "affiliation": "N",
            "endpointDescription": "Employer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info@tmc-ua.com",
            "address_1": "4662 Larwell Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432203621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.