Active NPI
Michael Paul Frederick, LMT
- Massage Therapist
- Grove City, OH
National Provider Identifier
1689372617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.010053
- Practice address
- 1770 Hawthorne Pkwy
Grove City, OH 43123-9210 - Phone
- (614) 946-7666
- NPI assigned
- Feb 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 33.010053 | OH | Primary |
Addresses
Primary practice location
1770 Hawthorne Pkwy
Grove City, OH 43123-9210
Mailing address
1770 Hawthorne Pkwy
Grove City, OH 43123-9210
Phone (614) 946-7666
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 |
|---|---|---|---|
| 33.010053 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1689372617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 HAWTHORNE PKWY",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431239210",
"telephone_number": "614-946-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 HAWTHORNE PKWY",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431239210",
"telephone_number": "614-946-7666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.010053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grove City, OH
- Franchise Acquisition Corp. D/B/a Senior Helpers of Columbus
- Isabella Francisco
- Franklin County Residential Services, Inc. (McDowell Road Home)
- Curtis Franklin Jr., QMHS
- Robert William Frazier Jr.
- Kenneth Wayne Freeman, QMHS
- Laura A. Freeman, FNP-BC
- Fresenius Medical Care South Grove City, LLC (Fresenius Kidney Care South Grove City)
- Fresenius Medical Care Vro, LLC (Fresenius Medical Care Grove City)
- Friendship Senior Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.