Individual provider Active NPI

Derrick John Slanina, LMT

  • Massage Therapist
  • Pittsburgh, PA
National Provider Identifier
1942843347
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG006876 Issued in PA
Practice address
2882 W Liberty Ave FL 2
Pittsburgh, PA 15216-2622
Phone
(412) 999-4612
NPI assigned
Oct 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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 MSG006876 PA Primary

Addresses

Primary practice location

2882 W Liberty Ave FL 2
Pittsburgh, PA 15216-2622

Mailing address

2882 W Liberty Ave FL 2
Pittsburgh, PA 15216-2622
Phone (412) 999-4612

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
MSG006876PAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Honor Your Body Wellness Massage Therapist CurrentSince Nov 10, 2019 Accepting new patients

Locations

2882 W Liberty Ave
Fl 2
Pittsburgh, PA 15216
Phone (412) 999-4612

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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1942843347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2882 W LIBERTY AVE FL 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162622",
            "telephone_number": "412-999-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 W LIBERTY AVE FL 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162622",
            "telephone_number": "412-999-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLANINA",
        "first_name": "DERRICK",
        "middle_name": "JOHN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-18",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG006876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.