NPIMap

Organization Active NPI

Holistic Lakewood, LLC

  • Massage Therapist
  • Lakewood, OH
National Provider Identifier
1992226708
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33020185 Issued in OH
Legal business name
HOLISTIC LAKEWOOD, LLC
Practice address
15217 Madison Ave
Lakewood, OH 44107-4018
Phone
(216) 904-2524
NPI assigned
Jun 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Paulette Simonetta, LMTNPI 1043639875
Title
Owner
Phone
(216) 904-2524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 33020185 OH Primary

Addresses

Primary practice location

15217 Madison Ave
Lakewood, OH 44107-4018

Mailing address

15217 Madison Ave
Lakewood, OH 44107-4018
Phone (216) 904-2524

National Provider Directory

National Provider Directory

Locations

15217 Madison Ave
Lakewood, OH 44107
Phone (216) 904-2524

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992226708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15217 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074018",
            "telephone_number": "216-904-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15217 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074018",
            "telephone_number": "216-904-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC LAKEWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIMONETTA",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-904-2524",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33020185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.