Organization Active NPI

Massage Matters Michigan LLC

  • Preferred Provider Organization
  • Detroit, MI
National Provider Identifier
1144767690
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
7501009330 Issued in MI
Legal business name
MASSAGE MATTERS MICHIGAN LLC
Practice address
17707 Fenkell St
Detroit, MI 48227-1513
Phone
(313) 293-1054
Fax
(313) 309-9686
NPI assigned
Jan 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Sheritta Marie Buford, LMTNPI 1144677915
Title
Owner
Phone
(313) 293-1054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 7501009330 MI Primary

Addresses

Primary practice location

17707 Fenkell St
Detroit, MI 48227-1513

Mailing address

13960 Mettetal St
Detroit, MI 48227-1747
Phone (313) 293-1054

Other names 1

  • Michigan Matters Universal Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Massage Matters Michigan 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1144767690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13960 METTETAL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271747",
            "telephone_number": "313-293-1054",
            "fax_number": "313-309-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17707 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271513",
            "telephone_number": "313-293-1054",
            "fax_number": "313-309-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE MATTERS MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "BUFORD",
        "authorized_official_first_name": "SHERITTA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-293-1054",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "7501009330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Matters Universal Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.