Organization Active NPI

Pure Serenity Massage LLC

  • Massage Therapist
  • Washington, MI
National Provider Identifier
1043781149
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PURE SERENITY MASSAGE LLC
Doing business as
Pure Serenity Massage LLC
Practice address
58540 Van Dyke Rd
Washington, MI 48094-3592
Phone
(586) 914-4201
NPI assigned
Dec 16, 2018
Last updated
Dec 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Authorized official

Name
Ms. Maria Cejmer, LMT, BCTMBNPI 1144729633
Title
Clinical Massage Therapist
Phone
(586) 914-4201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

58540 Van Dyke Rd
Washington, MI 48094-3592

Mailing address

PO Box 230576
Fair Haven, MI 48023-0576
Phone (586) 914-4201

Other names 1

  • Pure Serenity Massage LLC Doing business as

National Provider Directory

National Provider Directory

Locations

58540 Van Dyke Rd
Washington, MI 48094
Phone (586) 914-4201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1043781149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230576",
            "city": "FAIR HAVEN",
            "state": "MI",
            "postal_code": "480230576",
            "telephone_number": "586-914-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58540 VAN DYKE RD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943592",
            "telephone_number": "586-914-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE SERENITY MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "CEJMER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CLINICAL MASSAGE THERAPIST",
        "authorized_official_telephone_number": "586-914-4201",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT, BCTMB"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Serenity Massage LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.