Active NPI
Ryan Lee Moehlman
- Massage Therapist
- West Union, OH
National Provider Identifier
1639304108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 17253
- Practice address
- 508 E Main St
West Union, OH 45693-8002 - Phone
- (937) 779-3102
- Fax
- (397) 779-3102
- NPI assigned
- May 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 17253 | OH | Primary |
Addresses
Primary practice location
508 E Main St
West Union, OH 45693-8002
Mailing address
508 E Main St
West Union, OH 45693-8002
Phone (937) 779-3102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17253 | Other | OH | MASSAGE THERAPY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17253 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243382400000",
"number": "1639304108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 E MAIN ST",
"city": "WEST UNION",
"state": "OH",
"postal_code": "456938002",
"telephone_number": "937-779-3102",
"fax_number": "397-779-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 E MAIN ST",
"city": "WEST UNION",
"state": "OH",
"postal_code": "456938002",
"telephone_number": "937-779-3102",
"fax_number": "397-779-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOEHLMAN",
"first_name": "RYAN",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-27",
"last_updated": "2009-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "17253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY",
"identifier": "17253",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Union, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.