Gor'Dasia Seymore, LMT – Massage Therapist

Key facts

NPI: 1982469490
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: 33-026596 (OH)
Practice address: 2740 E Main St Ste C
Bexley, OH 43209-2579
Phone: (614) 237-6373
NPI assigned: Feb 14, 2024
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
33-026596	OH	MD	Massage Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist Group: 193400000X SINGLE SPECIALTY GROUP	225700000X	33-026596	OH	Yes

Addresses

Primary practice location

2740 E Main St Ste C
Bexley, OH 43209-2579

Mailing address

2740 E Main St Ste C
Bexley, OH 43209-2579
Phone (614) 237-6373

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 14, 2024.

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1982469490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 E MAIN ST STE C",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092579",
            "telephone_number": "614-237-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 E MAIN ST STE C",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092579",
            "telephone_number": "614-237-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMORE",
        "first_name": "GOR'DASIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33-026596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bexley, OH

All providers in Bexley, 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 Feb 14, 2024. 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.