Active NPI
Crystal R Peterfi
- Massage Therapist
- Davison, MI
National Provider Identifier
1033859475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501003341
- Practice address
- 403 W Flint St
Davison, MI 48423-1003 - Phone
- (810) 658-3648
- NPI assigned
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501003341 | MI | Primary |
Addresses
Primary practice location
403 W Flint St
Davison, MI 48423-1003
Mailing address
403 W Flint St
Davison, MI 48423-1003
Phone (810) 658-3648
Other practice location 1
403 W Flint St
Davison, MI 48423-1003
Phone (810) 658-3648
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7501003341 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1033859475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 W FLINT ST",
"city": "DAVISON",
"state": "MI",
"postal_code": "484231003",
"telephone_number": "810-658-3648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W FLINT ST",
"city": "DAVISON",
"state": "MI",
"postal_code": "484231003",
"telephone_number": "810-658-3648"
}
],
"practiceLocations": [
{
"address_1": "403 W Flint St",
"address_purpose": "LOCATION",
"city": "Davison",
"state": "MI",
"postal_code": "484231003",
"country_code": "US",
"telephone_number": "810-658-3648",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERFI",
"first_name": "CRYSTAL",
"middle_name": "R",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-01",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501003341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.