Active NPI
Traci Leeann Eaton, L.M.T
- Mechanotherapist
- Dayton, OH
National Provider Identifier
1790069276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 33.019648 E-G
- Practice address
- 8120 Garnet Dr
Dayton, OH 45458-2141 - Phone
- (937) 291-2511
- NPI assigned
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 33.019648 E-G | OH | Primary |
Addresses
Primary practice location
8120 Garnet Dr
Dayton, OH 45458-2141
Mailing address
1658 Catawba Ave
Springfield, OH 45503-4019
Phone (937) 450-7271
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 |
|---|---|---|---|
| 33.019648 E-G | OH | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1790069276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1658 CATAWBA AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455034019",
"telephone_number": "937-450-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 GARNET DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454582141",
"telephone_number": "937-291-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "TRACI",
"middle_name": "LEEANN",
"credential": "L.M.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OH",
"license": "33.019648 E-G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.