Active NPI
Mary Frances Elder, LMT,RMA
- Massage Therapist
- Perrysburg, OH
National Provider Identifier
1770936981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.023038
- Practice address
- 28442 E River Rd Ste 204205
Perrysburg, OH 43551-2795 - Phone
- (419) 984-5908
- Fax
- (419) 872-3258
- NPI assigned
- Jul 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | 33.023038 | OH | |
| Massage Therapist | 225700000X | 33.023038 | OH | Primary |
Addresses
Primary practice location
28442 E River Rd Ste 204205
Perrysburg, OH 43551-2795
Mailing address
515 South Ave
Toledo, OH 43609-3333
Phone (419) 984-5908
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
- Credentials
- Registered Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33.023038 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1770936981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 SOUTH AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436093333",
"telephone_number": "419-984-5908",
"fax_number": "419-872-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28442 E RIVER RD STE 204205",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435512795",
"telephone_number": "419-984-5908",
"fax_number": "419-872-3258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "MARY",
"middle_name": "FRANCES",
"credential": "LMT,RMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-22",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "OH",
"license": "33.023038",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.023038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.