Individual provider Active NPI

Kong Lo, LMT

  • Massage Therapist
  • Freeland, MI
National Provider Identifier
1003797994
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501002597 Issued in MI
Practice address
5846 Midland Rd # F
Freeland, MI 48623-8707
Phone
(989) 573-8575
NPI assigned
Sep 9, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501002597 MI Primary

Addresses

Primary practice location

5846 Midland Rd # F
Freeland, MI 48623-8707

Mailing address

5846 Midland Rd # F
Freeland, MI 48623-8707
Phone (989) 573-8575

Other practice location 1

115 S Saginaw St Ste 4
Saint Charles, MI 48655-1452
Phone (989) 573-8575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7501002597MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arnold Family Chiropractic PLLC PastSince Sep 4, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1003797994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 MIDLAND RD # F",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238707",
            "telephone_number": "989-573-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5846 MIDLAND RD # F",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238707",
            "telephone_number": "989-573-8575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 S Saginaw St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MI",
            "postal_code": "486551452",
            "country_code": "US",
            "telephone_number": "989-573-8575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LO",
        "first_name": "KONG",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501002597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.