Active NPI
Mary Irene Garrison, LMT
- Massage Therapist
- Sabina, OH
National Provider Identifier
1811056195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3313387
- Practice address
- 960 St RT 72 South
Sabina, OH 45169 - Phone
- (937) 302-6911
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 8, 2007
- 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 | 3313387 | OH | Primary |
Addresses
Primary practice location
960 St RT 72 South
Sabina, OH 45169
Mailing address
960 St RT 72 South
Sabina, OH 45169
Phone (937) 302-6911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000487064 | Other | OH | ANTHEM BLUE CROSS |
| 20492745200 | Other | OH | W C |
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 |
|---|---|---|---|
| 3313387 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811056195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 ST RT 72 SOUTH",
"city": "SABINA",
"state": "OH",
"postal_code": "45169",
"telephone_number": "937-302-6911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 ST RT 72 SOUTH",
"city": "SABINA",
"state": "OH",
"postal_code": "45169",
"telephone_number": "937-302-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "MARY",
"middle_name": "IRENE",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "3313387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000487064",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "W C",
"identifier": "20492745200",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sabina, OH
- East Clinton Local School
- Tierra J Edison, BSW
- Falcon Pharmacy Investments LLC (Barr's Pharmacy of Sabina)
- Francis Darlene Finley
- Four Seasons of Washington, LLC (Four Seasons of Washington Nursing and Rehabilitation Center)
- John Richard Dickinson
- Eric Obrynba
- Helena Lelavon Patrick
- Krysta Leigh Pirman, LPN
- Traci S Rawlings
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.