Andrea C Esenwein, LMT – Massage Therapist

Key facts

NPI: 1861035552
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: 33.023898 (OH)
Practice address: 1485 State Route 44
Atwater, OH 44201-9267
Phone: (330) 325-7390
NPI assigned: Oct 24, 2019
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
33.023898	OH	MD	Massage Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist	225700000X	33.023898	OH	Yes

Addresses

Primary practice location

1485 State Route 44
Atwater, OH 44201-9267

Mailing address

1995 Pineview Dr
Kent, OH 44240-4228
Phone (330) 289-4964

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 24, 2019.

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1861035552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 PINEVIEW DR",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404228",
            "telephone_number": "330-289-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 STATE ROUTE 44",
            "city": "ATWATER",
            "state": "OH",
            "postal_code": "442019267",
            "telephone_number": "330-325-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESENWEIN",
        "first_name": "ANDREA",
        "middle_name": "C",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.023898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, OH

All providers in Atwater, OH · Massage Therapist in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.