Active NPI
Michael Steven Greenfield, LMT MMP
- Massage Therapist
- Lake in the Hills, IL
National Provider Identifier
1053640896
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Oct 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227.002789
- Practice address
- 3915 Thornberry Way
Lake in the Hills, IL 60156-4626 - Phone
- (847) 338-9180
- Fax
- (847) 854-1106
- NPI assigned
- Dec 7, 2009
- Sex
- Male
- 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 | 227.002789 | IL | Primary |
Addresses
Primary practice location
3915 Thornberry Way
Lake in the Hills, IL 60156-4626
Mailing address
PO Box 1382
Crystal Lake, IL 60039-1382
Phone (847) 338-9180
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227.002789 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1053640896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1382",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600391382",
"telephone_number": "847-338-9180",
"fax_number": "847-854-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 THORNBERRY WAY",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601564626",
"telephone_number": "847-338-9180",
"fax_number": "847-854-1106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "MICHAEL",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "LMT MMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-07",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227.002789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake in the Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.