Active NPI
Lisa Rae Fries, L.M.T
- Massage Therapist
- Gahanna, OH
National Provider Identifier
1861736829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.017114-E-G
- Practice address
- 1110 Beecher Xing N
Suite B
Gahanna, OH 43230-4564 - Phone
- (614) 855-8828
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 33.017114-E-G | OH | Primary |
Addresses
Primary practice location
1110 Beecher Xing N
Suite B
Gahanna, OH 43230-4564
Mailing address
1110 Beecher Xing N
Suite B
Gahanna, OH 43230-4564
Phone (614) 855-8828
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 |
|---|---|---|---|
| 33.017114-E-G | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1861736829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 BEECHER XING N",
"address_2": "SUITE B",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432304564",
"telephone_number": "614-855-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 BEECHER XING N",
"address_2": "SUITE B",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432304564",
"telephone_number": "614-855-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIES",
"first_name": "LISA",
"middle_name": "RAE",
"name_prefix": "Miss",
"credential": "L.M.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.017114-E-G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gahanna, OH
- Mikayla Frazier
- Paul Wayne Frazier, RN
- Fred a. Alger, D.D.S.,M.S., LLC
- Megan Brianne Freeman, FNP-C
- Fresenius Medical Care New Albany, LLC (Fresenius Kidney Care New Albany)
- From the Heart Home Healthcare Agency
- Fruitful Trees (Coach O Legacy)
- Chantel Michelle Fucci, LAT, ATC
- Adonna Fuller
- Kayla Marie Fuller, LISW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.