EDWARD MONTGOMNERY JR. (NPI# 1649666595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649666595 |
| Entity Type | Individual |
| Full Name | EDWARD MONTGOMNERY JR. |
| Credential | MASSOTHERAPIST |
| Practice Address |
4259 Boardman Canfield Rd Canfield OH 44406-8064 |
| Mailing Address |
4722 Warren Sharon Rd Vienna OH 44473-9637 |
| Practice Telephone | 3307021872 |
| Mailing Telephone | 3305038605 |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 019086 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4259 BOARDMAN CANFIELD RD |
| City | CANFIELD |
| State | OH |
| Zip Code | 44406-8064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952802282 | Julie Nicole Austalosh | Case Manager/Care Coordinator | 3711 Indian Run Dr Apt 7, Canfield, OH 44406 | 2018-02-22 |
| 1073064887 | Abby Smith | Specialist/Technologist | 250 Lake Pointe Circle, Canfield, OH 44406 | 2016-10-17 |
| 1255887949 | Chris Smallwood II | Driver | 6128 St Andrews Dr, Canfield, OH 44406 | 2016-09-01 |
| 1831572064 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 41 Talsman Drive, Youngstown, OH 44406 | 2015-07-07 |
| 1568845790 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 3222 Forty Second Street, Youngstown, OH 44406 | 2015-07-07 |
| 1003212051 | Diane Pool | Registered Nurse | 100 Wadsworth Street, Canfield, OH 44406 | 2014-11-18 |
| 1215353990 | Jeanne Siverd | Occupational Therapy Assistant | 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 | 2014-03-05 |
| 1134565641 | Dema Halasa Esper | Dietitian, Registered | 52 Timber Run Dr., Canfield, OH 44406 | 2013-05-13 |
| 1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
| 1205060654 | Jennifer L Morris | Registered Nurse | 3787 Mercedes Place, Canfield, OH 44406 | 2009-05-13 |
| Find all providers in zip 44406 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609097559 | James J Elrod | Massage Therapist | 540 E. Main St., Canfield, OH 44406 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639917 | Resha L Mcclendon | Massage Therapist | 132 Dorchester Sq S Ste 201, Westerville, OH 43081-7400 | 2020-11-08 |
| 1528669280 | George B Mcgill IIi | Massage Therapist | 773 Elm St, Groveport, OH 43125-1242 | 2020-11-07 |
| 1114528296 | James Aaron Brooks | Massage Therapist | 806 Picket Pl, Dayton, OH 45433-1325 | 2020-11-04 |
| 1457951188 | David Michael Riemer | Massage Therapist | 455 Delta Ave Ste 307, Cincinnati, OH 45226-1127 | 2020-10-30 |
| 1801496716 | Jessica Marie Adkins | Massage Therapist | 7570 Allegheny Dr, Concord Township, OH 44060-7206 | 2020-10-29 |
| 1629677380 | Camille Mathis | Massage Therapist | 936 Bryden Rd Apt 3e, Columbus, OH 43205-1840 | 2020-10-22 |
| 1558960757 | Zach Thomas Lindner | Massage Therapist | 6790 Harrison Ave Apt 25, Cincinnati, OH 45247-3276 | 2020-10-20 |
| 1023617313 | Makayla Ammons | Massage Therapist | 3829 Potomac St, Groveport, OH 43125-9471 | 2020-10-19 |
| 1578162855 | Kelsey Coffey | Massage Therapist | 2400 Niles Cortland Rd Se Ste 5, Warren, OH 44484-3869 | 2020-10-19 |
| 1730787722 | Janet Dianne Soto | Massage Therapist | 5317 Bethel Park Dr, Columbus, OH 43235-7125 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.