Ethan Tucker, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.025407 Issued in OH

Practice address

428 Beecher Rd Ste B
Gahanna, OH 43230-4562

Phone

(614) 855-5533

Fax

(614) 855-5566

NPI assigned

Mar 30, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Beecher Chiropractic & Wellness Center LLC

  • Chiropractor
  • Gahanna, OH
  • NPI 1982923405
  NPD

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1700580826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 BEECHER RD STE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304562",
            "telephone_number": "614-855-5533",
            "fax_number": "614-855-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 BEECHER RD STE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304562",
            "telephone_number": "614-855-5533",
            "fax_number": "614-855-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ETHAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.025407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Home Healthcare, LLC
• Andrew C Trout, D.O.
• Todd David Troy, PA-C
• Verneda Troyer, M.D.
• True Calling Healthcare and Training
• Tammi Tullos, CNA
• Ryan J Turnbull, COTA/L
• John W Tyznik, M.D.
• Monique Underwood
• United States Pharmaceutical Group, LLC

• Massage Therapist in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.