Carrie Radzik, ATC/L, LMT, NMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

33.014099 Issued in OH

Practice address

8081 Adams Ridge Rd
Defiance, OH 43512-9173

Phone

(419) 497-2112

Fax

(419) 497-2114

NPI assigned

May 15, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Defiance Therapeutic Massage & Wellness Center, LLC

  • Specialist
  • Defiance, OH
  • NPI 1003117441
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1902165657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 ADAMS RIDGE RD",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435129173",
            "telephone_number": "419-497-2112",
            "fax_number": "419-497-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 ADAMS RIDGE RD",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435129173",
            "telephone_number": "419-497-2112",
            "fax_number": "419-497-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADZIK",
        "first_name": "CARRIE",
        "credential": "ATC/L, LMT, NMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "33.014099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A. Pruitt, M.D.
• Amy Quigley, RN
• John J. Racciato, M.D.
• Debra M Radcliff, MNT
• Matthew Radwan, CRNA
• Jon M Raimonde, CRNA
• Christina Raines, LPN
• Laura R Rath, RPH
• Caroline Rayfield
• RCG Indiana, L.L.C.

• Specialist in Defiance, OH
• Providers in Defiance, OH by specialty
• Specialist in Ohio

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

Verify at the official NPI Registry.