Active NPI
Arlene Eugenio
- Massage Therapist
- Bay City, MI
National Provider Identifier
1104457670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501010822
- Practice address
- 704 S Euclid Ave
Bay City, MI 48706-3304 - Phone
- (989) 671-9755
- Fax
- (989) 439-1946
- NPI assigned
- Feb 3, 2020
- Sex
- Female
- 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 | 7501010822 | MI | Primary |
Addresses
Primary practice location
704 S Euclid Ave
Bay City, MI 48706-3304
Mailing address
704 S Euclid Ave
Bay City, MI 48706-3304
Phone (989) 671-9755
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 |
|---|---|---|---|
| 7501010822 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1104457670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 S EUCLID AVE",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487063304",
"telephone_number": "989-671-9755",
"fax_number": "989-439-1946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 S EUCLID AVE",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487063304",
"telephone_number": "989-671-9755",
"fax_number": "989-439-1946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUGENIO",
"first_name": "ARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501010822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.