Individual provider Active NPI

Morgan M Meredith, LMT

  • Massage Therapist
  • Sheffield Village, OH
National Provider Identifier
1801559174
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.022338 Issued in OH
Practice address
5445 Detroit Rd Ste 201
Sheffield Village, OH 44054-3909
Phone
(440) 240-9111
Fax
(440) 934-5459
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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 33.022338 OH Primary

Addresses

Primary practice location

5445 Detroit Rd Ste 201
Sheffield Village, OH 44054-3909

Mailing address

5445 Detroit Rd Ste 201
Sheffield Village, OH 44054-3909
Phone (440) 240-9111

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

LicenseStateTypeSpecialty
33.022338OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Pain Management & Rehabilitation LTD PastSince Oct 17, 2021 Accepting new patients

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1801559174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 DETROIT RD STE 201",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440543909",
            "telephone_number": "440-240-9111",
            "fax_number": "440-934-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 DETROIT RD STE 201",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440543909",
            "telephone_number": "440-240-9111",
            "fax_number": "440-934-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "MORGAN",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.022338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.