Active NPI
Kimberly Graham
- Massage Therapist
- Strongsville, OH
National Provider Identifier
1679377808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.011939
- Practice address
- 17406 Royalton Rd Ste C
Strongsville, OH 44136-5144 - Phone
- (440) 663-1977
- NPI assigned
- Apr 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Massage Therapist | 225700000X | 33.011939 | OH | Primary |
Addresses
Primary practice location
17406 Royalton Rd Ste C
Strongsville, OH 44136-5144
Mailing address
1161 Grove LN
Medina, OH 44256-6781
Phone (330) 591-1304
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 |
|---|---|---|---|
| 33.011939 | OH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leonard Chiropractic | Past | Accepting new patients |
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.
-
- Chiropractor
- Fairview Park, OH
- NPI 1265630743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1679377808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 GROVE LN",
"city": "MEDINA",
"state": "OH",
"postal_code": "442566781",
"telephone_number": "330-591-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17406 ROYALTON RD STE C",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441365144",
"telephone_number": "440-663-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-04",
"last_updated": "2025-04-04",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.011939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Strongsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.