Organization Active NPI

Michigan Chiropractic and Medical Massage Therapy, LLC

  • Massage Therapist
  • Oak Park, MI
National Provider Identifier
1063956753
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501005564 Issued in MI
Legal business name
MICHIGAN CHIROPRACTIC AND MEDICAL MASSAGE THERAPY, LLC
Practice address
23300 Greenfield Rd Ste 102
Oak Park, MI 48237-8407
Phone
(786) 309-1286
NPI assigned
Dec 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Troy Causey
Title
Ceo
Phone
(786) 309-1286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 7501005564 MI Primary

Addresses

Primary practice location

23300 Greenfield Rd Ste 102
Oak Park, MI 48237-8407

Mailing address

23300 Greenfield Rd Ste 102
Oak Park, MI 48237-8407

National Provider Directory

National Provider Directory
Tax ID family
Michigan Chiropractic and Medical Massage Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

23300 Greenfield Rd
Ste 102
Oak Park, MI 48237
Phone (248) 968-1550

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1063956753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23300 GREENFIELD RD STE 102",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482378407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23300 GREENFIELD RD STE 102",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482378407",
            "telephone_number": "786-309-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN CHIROPRACTIC AND MEDICAL MASSAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "CAUSEY",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-309-1286"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501005564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.