Kimberly Marie Diogo, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.025175 Issued in OH

Practice address

3060 Dayton Xenia Rd Ste C
Beavercreek, OH 45434-6393

Phone

(937) 427-2225

Fax

(937) 405-1078

NPI assigned

Oct 19, 2020

Last updated

Oct 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Medical & Wellness Center, Inc.

  • General Practice Physician
  • Beavercreek, OH
  • NPI 1598281057

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1740889047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 DAYTON XENIA RD STE C",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346393",
            "telephone_number": "937-427-2225",
            "fax_number": "937-405-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 DAYTON XENIA RD STE C",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346393",
            "telephone_number": "937-427-2225",
            "fax_number": "937-405-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIOGO",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.025175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Digestive Specialists, Inc.
• Digestivecare, Inc.
• Digestivecare, LLC (DigestiveCare Endoscopy Unit)
• Taylor Ashleigh Dillman
• Jennifer Dimeff, BSN, RN
• Sara Marie Diskin
• Teresa D Ditmer, APRN-BC, CNS
• Sara Raye Ditzel, MSP
• Dixie a. Dooley, DPM, Inc.
• DMG - Beavercreek RJ Caputo DMD, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.