Active NPI
Janet H Jordan
- Massage Therapist
- Southfield, MI
National Provider Identifier
1154006187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501007914
- Practice address
- 21751 W 11 Mile Rd
Southfield, MI 48076-3712 - Phone
- (248) 761-1976
- NPI assigned
- Jun 19, 2023
- Last updated
- Jun 19, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 7501007914 | MI | Primary |
Addresses
Primary practice location
21751 W 11 Mile Rd
Southfield, MI 48076-3712
Mailing address
22153 Glenwood St
Clinton Township, MI 48035-3044
Phone (586) 222-6698
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 |
|---|---|---|---|
| 7501007914 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1154006187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22153 GLENWOOD ST",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480353044",
"telephone_number": "586-222-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21751 W 11 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763712",
"telephone_number": "248-761-1976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "JANET",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-19",
"last_updated": "2023-06-19",
"certification_date": "2023-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501007914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.