Active NPI
Michael Fawcett I, L.M.T.
- Mechanotherapist
- Columbus, OH
National Provider Identifier
1760880579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 021186
- Practice address
- 5151 Reed Rd
Columbus, OH 43220-2553 - Phone
- (704) 807-0192
- NPI assigned
- Dec 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 021186 | OH | Primary |
Addresses
Primary practice location
5151 Reed Rd
Columbus, OH 43220-2553
Mailing address
959 Danvers Ave
Westerville, OH 43081-1113
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 |
|---|---|---|---|
| 021186 | OH | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1760880579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "959 DANVERS AVE",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430811113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 REED RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202553",
"telephone_number": "704-807-0192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAWCETT",
"first_name": "MICHAEL",
"name_suffix": "I",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-10",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OH",
"license": "021186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.