Active NPI
Tam Huynh
- Massage Therapist
- Grand Rapids, MI
National Provider Identifier
1154107597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501014473
- Practice address
- 5557 28TH St SE Ste D
Grand Rapids, MI 49512-2035 - Phone
- (616) 208-9880
- NPI assigned
- Sep 1, 2023
- Sex
- Male
- 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 | 7501014473 | MI | Primary |
Addresses
Primary practice location
5557 28TH St SE Ste D
Grand Rapids, MI 49512-2035
Mailing address
7668 Harmony CV SE
Byron Center, MI 49315-8272
Phone (216) 470-6450
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 |
|---|---|---|---|
| 7501014473 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Cook Inc | Current | Accepting new patients |
Locations
5557 28th St SE
Ste D
Grand Rapids, MI 49512
Phone (616) 208-9880
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1154107597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7668 HARMONY CV SE",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493158272",
"telephone_number": "216-470-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5557 28TH ST SE STE D",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495122035",
"telephone_number": "616-208-9880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "TAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-01",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501014473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.