Individual provider Active NPI

Aleksandr Murray Borrello, LMT

  • Massage Therapist
  • Grand Ledge, MI
National Provider Identifier
1073495339
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501011038 Issued in MI
Practice address
11409 Stoney Brook Dr
Grand Ledge, MI 48837-9156
Phone
(989) 295-0483
NPI assigned
Jul 25, 2025
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501011038 MI Primary

Addresses

Primary practice location

11409 Stoney Brook Dr
Grand Ledge, MI 48837-9156

Mailing address

11409 Stoney Brook Dr
Grand Ledge, MI 48837-9156
Phone (989) 295-0483

Other practice location 1

2600 Eaton Rapids Rd
Lansing, MI 48911-6354
Phone (517) 887-7599

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

LicenseStateTypeSpecialty
7501011038MIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1073495339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11409 STONEY BROOK DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488379156",
            "telephone_number": "989-295-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11409 STONEY BROOK DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488379156",
            "telephone_number": "989-295-0483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Eaton Rapids Rd",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489116354",
            "country_code": "US",
            "telephone_number": "517-887-7599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORRELLO",
        "first_name": "ALEKSANDR",
        "middle_name": "MURRAY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501011038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ledge, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.