DUANE ALLEN BOOMERSHINE, LMT — NPI 1770143208 (Licensed & Credentialed Massage Therapist in EATON, OH)

CMS-1500 Box 24J / 33a • NPI

1770143208

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225700000X

Licensed & Credentialed Massage Therapist

Box 32 Service Location & ZIP+4

890 S BARRON ST, EATON, OH, 45320-9362

✓ 9-Digit EDI 837 ZIP+4 (45320-9362)

Practice Phone & Referral Fax

(937) 456-4555

Fax: (888) 789-0151

⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1770143208 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(b)(4) — License Revocation, Suspension, or Surrender — Effective 2023-10-19). Verify before submitting Medicare/Medicaid claims.

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1770143208` (NPI-1 Individual Practitioner)
Provider / Legal Name	DUANE ALLEN BOOMERSHINE, LMT
Plain-English Specialty	Licensed & Credentialed Massage Therapist NUCC Code: `225700000X` (Massage Therapist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	890 S BARRON ST, EATON, OH, 45320-9362
Practice Telephone / Fax	Tel: (937) 456-4555 \| Fax: (888) 789-0151
Administrative Mailing Address	436 SOUTHBROOK DR, GREENVILLE, OH, 45331-1156
Enumeration & Last Sync	Enumerated: 2019-06-17 \| CMS Record Updated: 2019-06-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

890 S BARRON ST, EATON, OH, 45320-9362

🗺️ Open in Google Maps 🏥 More Providers in EATON

🔒 Are you DUANE ALLEN BOOMERSHINE, LMT? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (225700000X)

What Does Taxonomy Code 225700000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225700000X translates to:
"Licensed & Credentialed Massage Therapist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Massage Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DUANE ALLEN BOOMERSHINE, LMT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225700000X` — Massage Therapist Plain English: Licensed & Credentialed Massage Therapist	State: OH \| License: `33.023641` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

DUANE ALLEN BOOMERSHINE, LMT (NPI #1770143208)