Active NPI
Heather E. Gotham Earls
- Massage Therapist
- Middlefield, OH
National Provider Identifier
1699549352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13399
- Practice address
- 16030 East High St
Suite 6
Middlefield, OH 44062-1238 - Phone
- (440) 632-1112
- NPI assigned
- Nov 13, 2023
- Last updated
- Nov 13, 2023
- 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 | 13399 | OH | Primary |
Addresses
Primary practice location
16030 East High St
Suite 6
Middlefield, OH 44062-1238
Mailing address
PO Box 1238
Middlefield, OH 44062-1238
Other names 1
- Heather Eloise Gotham
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 |
|---|---|---|---|
| 13399 | OH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenhart Chiropractic Clinic, Inc. | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Middlefield, OH
- NPI 1396900049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1699549352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1238",
"city": "MIDDLEFIELD",
"state": "OH",
"postal_code": "440621238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16030 EAST HIGH ST",
"address_2": "SUITE 6",
"city": "MIDDLEFIELD",
"state": "OH",
"postal_code": "440621238",
"telephone_number": "440-632-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTHAM EARLS",
"first_name": "HEATHER",
"middle_name": "E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "13399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "GOTHAM",
"middle_name": "ELOISE",
"credential": "L.M.T.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Middlefield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.