Organization Active NPI

Soul to Sole

  • Mechanotherapist
  • Columbus, OH
National Provider Identifier
1689031072
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
33.020787E-G Issued in OH
Legal business name
SOUL TO SOLE
Practice address
6040 Cleveland Ave
Columbus, OH 43231-2230
Phone
(614) 890-7952
Fax
(614) 890-8960
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Angela Ellis, LMT
Title
Massotherapist
Phone
(614) 800-3794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193200000X MULTI-SPECIALTY GROUP 172M00000X 33.020787E-G OH Primary

Addresses

Primary practice location

6040 Cleveland Ave
Columbus, OH 43231-2230

Mailing address

7703 Columbus Rd
Mount Vernon, OH 43050-9327
Phone (614) 800-3791

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1689031072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 COLUMBUS RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509327",
            "telephone_number": "614-800-3791",
            "fax_number": "614-890-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312230",
            "telephone_number": "614-890-7952",
            "fax_number": "614-890-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL TO SOLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MASSOTHERAPIST",
        "authorized_official_telephone_number": "614-800-3794",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "OH",
            "license": "33.020787E-G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 15, 2016; 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.