Active NPI
Jacob Studinger
- Massage Therapist
- Marquette, MI
National Provider Identifier
1053924373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501006098
- Practice address
- 310 W Washington St Ste 300
Marquette, MI 49855-4366 - Phone
- (906) 228-9800
- Fax
- (906) 228-9801
- NPI assigned
- Aug 26, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 7501006098 | MI | Primary |
Addresses
Primary practice location
310 W Washington St Ste 300
Marquette, MI 49855-4366
Mailing address
310 W Washington St Ste 300
Marquette, MI 49855-4366
Phone (906) 228-9800
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 |
|---|---|---|---|
| 7501006098 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1053924373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W WASHINGTON ST STE 300",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554366",
"telephone_number": "906-228-9800",
"fax_number": "906-228-9801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W WASHINGTON ST STE 300",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554366",
"telephone_number": "906-228-9800",
"fax_number": "906-228-9801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUDINGER",
"first_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-26",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501006098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.