Elissa Rose Thomas, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501002635 Issued in MI

Practice address

28860 Southfield Rd Ste 202
Lathrup Village, MI 48076-2726

Phone

(248) 733-5876

NPI assigned

Feb 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1154077873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28860 SOUTHFIELD RD STE 202",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28860 SOUTHFIELD RD STE 202",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762726",
            "telephone_number": "248-733-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ELISSA",
        "middle_name": "ROSE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501002635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@eroseexperience.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email/Call",
            "address_1": "28860 Southfield Rd Ste 202",
            "city": "Lathrup Village",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480762726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Raveend C Thabolingam, MD
• Thomas Psychological
• Nicole Antoinetta Thomas, NP
• Tamela Marie Thomas, RN
• Tiffany Goshatt
• Manhal Wadie Tobia, MD
• Tom Kopsch & Associates,Inc

• Massage Therapist in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.