Individual provider Active NPI

Austin Blake Treadway

  • Massage Therapist
  • Marietta, OH
National Provider Identifier
1750121299
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.026958 Issued in OH
Practice address
200 Putnam St Ste 516
Marietta, OH 45750-3010
Phone
(740) 706-3492
NPI assigned
May 31, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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 33.026958 OH Primary

Addresses

Primary practice location

200 Putnam St Ste 516
Marietta, OH 45750-3010

Mailing address

811 Quarry St
Marietta, OH 45750-2233
Phone (740) 706-3492

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
33.026958OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Treadway Therapeutic Massage and Wellness Massage Therapist CurrentSince Sep 10, 2024 Accepting new patients

Locations

200 Putnam St
Ste 514
Marietta, OH 45750
Phone (740) 706-3492

200 Putnam St
Ste 516
Marietta, OH 45750
Phone (740) 706-3492

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1750121299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 QUARRY ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502233",
            "telephone_number": "740-706-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PUTNAM ST STE 516",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503010",
            "telephone_number": "740-706-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWAY",
        "first_name": "AUSTIN",
        "middle_name": "BLAKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.026958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.