Active NPI
Tennie L Novak, LMT
- Massage Therapist
- Avon, OH
National Provider Identifier
1801115365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33-015859
- Practice address
- 1997 Healthway Dr
Avon, OH 44011-2834 - Phone
- (440) 988-6800
- NPI assigned
- May 24, 2010
- Last updated
- May 24, 2010
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 33-015859 | OH | Primary |
Addresses
Primary practice location
1997 Healthway Dr
Avon, OH 44011-2834
Mailing address
1997 Healthway Dr
Avon, OH 44011-2834
Phone (440) 988-6800
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 |
|---|---|---|---|
| 33-015859 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1801115365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1997 HEALTHWAY DR",
"city": "AVON",
"state": "OH",
"postal_code": "440112834",
"telephone_number": "440-988-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1997 HEALTHWAY DR",
"city": "AVON",
"state": "OH",
"postal_code": "440112834",
"telephone_number": "440-988-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "TENNIE",
"middle_name": "L",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33-015859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, OH
- Northern Ohio Arthritis Center, Inc
- Northern Ohio Eye Consultants Inc (Cleveland Eye Clinic)
- Northern Ohio Eye Consultants, Inc (Cleveland Eye Clinic)
- Northern Ohio Eye Consultants, Inc. (Cleveland Eye Clinic)
- John J Novak, O.D.
- David A Novotny, M.D.
- Elayna A Nowak, DPT
- Alexia Ijeoma Nwankwo
- O'Brien Optics LLC
- Erin Marie O'Toole
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.