NPIMap

Organization Active NPI

JB Therapeutic and Sports Massage

  • Massage Therapist
  • Walled Lake, MI
National Provider Identifier
1114373263
Registry record updated May 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501001652 Issued in MI
Legal business name
JB THERAPEUTIC AND SPORTS MASSAGE
Practice address
2344 S Commerce Rd
Walled Lake, MI 48390-2126
Phone
(248) 787-1558
NPI assigned
May 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2016

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

Authorized official

Name
Julie Finn, LMT
Title
Owner/Licensed Massage Therapist
Phone
(248) 624-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 7501001652 MI Primary

Addresses

Primary practice location

2344 S Commerce Rd
Walled Lake, MI 48390-2126

Mailing address

2344 S Commerce Rd
Walled Lake, MI 48390-2126
Phone (248) 787-1558

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462665600000",
    "number": "1114373263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 S COMMERCE RD",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483902126",
            "telephone_number": "248-787-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 S COMMERCE RD",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483902126",
            "telephone_number": "248-787-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB THERAPEUTIC AND SPORTS MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-08",
        "last_updated": "2016-05-08",
        "status": "A",
        "authorized_official_last_name": "FINN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER/LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "248-624-1144",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501001652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walled Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.