Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588323877 Individual Practitioner Male Practitioner

Douglas Martin Shodd , LMT

Massage Therapist • Warren, OH

Professional Overview & Biography Verified Profile Summary

Douglas Shodd, LMT is a registered healthcare professional specializing in Massage Therapist in Warren, OH. Practice services are available at 2400 NILES CORTLAND RD SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2400 Niles Cortland Rd Se

Warren, OH 444843869

Telephone 3306524222
Fax 3306520574
Associated Practice Facility / Clinic
🏢 Lawrence C Chen Dds Inc Facility NPI 1356306567

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Warren, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Warren, OH (1983 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-09
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OH 33.006135

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Fidel Syrianoudis

Massage Therapist

NPI 1073213815
Emily Slattery , MT

Massage Therapist

NPI 1093314262
Erica White , LMT

Massage Therapist

NPI 1093397317

Licensed Massage Therapist

Rayelle Keeney , LMT

Massage Therapist

NPI 1255126116

Licensed Massage Therapist

Kayla Duncan , LMT

Massage Therapist

NPI 1427784537

Licensed Massage Therapist

David Benedis , LMT

Massage Therapist

NPI 1457019952

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 14, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 14, 2021

Registered at 2400 NILES CORTLAND RD SE, WARREN, OH 444843869 (Tel: 3306524222)

📍
Updated Business Mailing Address December 14, 2021

Registered at 8120 SOUTHERN BLVD APT 1, BOARDMAN, OH 445126309 (Tel: 3306524222)

👤
Provider Name / Credentials Updated December 14, 2021

Recorded as DOUGLAS SHODD, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2021

Massage Therapist (License #33.006135 in OH)

🟢
Initial NPI Registration & Enumeration December 14, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588323877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2021
Last Update: December 14, 2021
Sole Proprietor: Yes

Mailing Address

8120 Southern Blvd Apt 1

Boardman, OH 445126309

Phone: 3306524222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.