Individual provider Active NPI

Heather E. Gotham Earls

  • Massage Therapist
  • Middlefield, OH
National Provider Identifier
1699549352
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
13399 Issued in OH
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
13399OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lenhart Chiropractic Clinic, Inc. CurrentSince Feb 4, 2024 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.

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.

Verify at the official NPI Registry.